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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Benefit List Update_New Indication_ABIRATERONE Tablets1822024-Nov-06Word PDF
Benefit List Update_New Indication_LYNPARZA Tablets1812024-Nov-06Word PDF
Online version of NIDPF Vol. 91 effective November 1, 20241802024-Nov-01Word PDF
Delisting of Jamp-Prasugrel 10mg Tablet1792024-Nov-01Word PDF
Short Stock - Carbamazepine 200 mg CR1782024-Oct-28Word PDF
Benefit Status Effective November 1, 20241772024-Oct-25Word PDF
NIDPF Vol. 91 Supplement Effective November 1, 2024 - Refer to Bulletin #177 for Benefit Status1762024-Oct-25Word PDF
Short-Stock - Diclofenac Sodium/Misoprostol 75mg/200ug1752024-Oct-22Word PDF
Benefit List Update: New Addition: MAR-TRIENTINE 250mg1742024-Oct-18Word PDF
Short Stock - Carbamazepine 400 mg CR1732024-Oct-18Word PDF
Benefit List Update: New Addition: VYEPTI 300mg/3ml 1722024-Oct-16Word PDF
Benefit List Update: New Addition: MAVACAMTEN (CAMZYOS 2.5mg, 5mg, 10mg, 15mg CAPSULES)1712024-Oct-16Word PDF
Benefit List Update1702024-Oct-11Word PDF
Update: Short-Stock - Carbergoline 0.5 mg1692024-Oct-10Word PDF
Reimbursement of Public Flu Vaccinations under NLPDP for 2024 - 2025 Flu Season1682024-Oct-08Word PDF
Short-Stock - Bupropion 150 mg1672024-Oct-07Word PDF
Benefit list updates_New Additions to Existing Category_Non-Insulin Anti-Diabetic Agents1662024-Oct-07Word PDF
Update: Short Stock: Carbamazepine 200 mg CR1652024-Oct-04Word PDF
Update: Short-Stock: Pyridostigmine 60mg1642024-Oct-04Word PDF
Short-Stock - Carbergoline 0.5 mg1632024-Oct-03Word PDF
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Document Name: Date Range: To


Document NameDateView
Coverage Status Table - October 20242024-Oct-16 PDF
Coverage Status Table - September 20242024-Sep-23 PDF
Coverage Status Table - August 20242024-Aug-16 PDF
Coverage Status Table - July 20242024-Jul-04 PDF
Coverage Status Table - June 20242024-Jun-18 PDF
Coverage Status Table - May 20242024-May-15 PDF
Coverage Status Table - April 20242024-Apr-23 PDF
Coverage Status Table - March 20242024-Mar-12 PDF
Coverage Status Table - February 20242024-Feb-21 PDF
Coverage Status Table - January 20242024-Jan-24 PDF
Coverage Status Table - December 20232023-Dec-12 PDF
Coverage Status Table - November 20232023-Nov-20 PDF
Coverage Status Table - October 20232023-Oct-25 PDF
Coverage Status Table - September 20232023-Sep-08 PDF
Coverage Status Table - August 20232023-Aug-22 PDF
Coverage Status Table - July 20232023-Jul-19 PDF
Coverage Status Table - June 20232023-Jun-08 PDF
Coverage Status Table - May 20232023-May-18 PDF
Coverage Status Table - April 20232023-Apr-19 PDF
Coverage Status Table - March 20232023-Mar-15 PDF
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Document Name: Date Range: To


Document NameDateView
Diabetic Listing - December 13, 20222022-Dec-14 PDF
 
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Benefit List Update_New Indication_ABIRATERONE Tablets1822024-Nov-06Word PDF
Benefit List Update_New Indication_LYNPARZA Tablets1812024-Nov-06Word PDF
Benefit List Update: New Addition: MAR-TRIENTINE 250mg1742024-Oct-18Word PDF
Benefit List Update: New Addition: VYEPTI 300mg/3ml 1722024-Oct-16Word PDF
Benefit List Update: New Addition: MAVACAMTEN (CAMZYOS 2.5mg, 5mg, 10mg, 15mg CAPSULES)1712024-Oct-16Word PDF
Benefit List Update1702024-Oct-11Word PDF
Benefit list updates_New Additions to Existing Category_Non-Insulin Anti-Diabetic Agents1662024-Oct-07Word PDF
Benefit List Updates_New Indication_CABOMETYX Tablets1612024-Sep-27Word PDF
Benefit List Update: VYALEV 240MG/ML, 12MG/ML1452024-Sep-04Word PDF
Benefit List Update: RINVOQ 15mg, 30mg TABLET1442024-Sep-04Word PDF
Benefit List Update: MAVIRET 50-20 MG GRANULES1422024-Sep-04Word PDF
Benefit List Updates_New Indication_LONSURF Tablets1402024-Aug-30Word PDF
Benefit List Update: New Addition: VERQUVO tablets1362024-Aug-26Word PDF
Benefit List Update: Nucala for severe chronic rhinosinusitis1322024-Aug-20Word PDF
Benefit List Update_Criteria Update_Biphentin and Vyvanse1312024-Aug-08Word PDF
Benefit List Update: Jubbonti 60mg/ml prefilled syringe 1292024-Aug-05Word PDF
Benefit list updates_New addition_WYOST 1282024-Aug-05Word PDF
Benefit List Update1192024-Jun-27Word PDF
Benefit List Updates_New Strength_ERLEADA 240MG Tablets1102024-Jun-13Word PDF
Benefit List Update: New Addition: Octasa Delayed Release Tablets1002024-May-28Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Short Stock - Carbamazepine 200 mg CR1782024-Oct-28Word PDF
Short-Stock - Diclofenac Sodium/Misoprostol 75mg/200ug1752024-Oct-22Word PDF
Short Stock - Carbamazepine 400 mg CR1732024-Oct-18Word PDF
Update: Short-Stock - Carbergoline 0.5 mg1692024-Oct-10Word PDF
Short-Stock - Bupropion 150 mg1672024-Oct-07Word PDF
Update: Short Stock: Carbamazepine 200 mg CR1652024-Oct-04Word PDF
Update: Short-Stock: Pyridostigmine 60mg1642024-Oct-04Word PDF
Short-Stock - Carbergoline 0.5 mg1632024-Oct-03Word PDF
Update - Short-Stock: Rabeprazole Sodium 10 mg1562024-Sep-23Word PDF
Short-Stock: Zolmitriptan 2.5 mg1522024-Sep-19Word PDF
Short-Stock: Pyridostigmine 60mg1472024-Sep-11Word PDF
Short-Stock: Zolmitriptan ODT 2.5 mg1432024-Sep-04Word PDF
Short-Stock: Bupropion 300 mg1372024-Aug-27Word PDF
Short-Stock: Rabeprazole Sodium 10 mg1332024-Aug-22Word PDF
Short-Stock: Imiquimod 5 percent1302024-Aug-06Word PDF
Update - Short-Stock: Rabeprazole Sodium 10 mg 1262024-Jul-26Word PDF
Update - Short-Stock: Octreotide 30mg/Vial1182024-Jun-21Word PDF
Update - Short-Stock: Octreotide 20mg/Vial1172024-Jun-21Word PDF
Update-Short-Stock: Gliclazide MR 30mg1162024-Jun-21Word PDF
Update - Short-Stock: Bupropion 300mg1082024-Jun-11Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Online version of NIDPF Vol. 91 effective November 1, 20241802024-Nov-01Word PDF
Benefit Status Effective November 1, 20241772024-Oct-25Word PDF
NIDPF Vol. 91 Supplement Effective November 1, 2024 - Refer to Bulletin #177 for Benefit Status1762024-Oct-25Word PDF
Online version of NIDPF Vol. 91 effective October 1, 20241622024-Oct-01Word PDF
Benefit Status Effective October 1, 20241552024-Sep-20Word PDF
NIDPF Vol. 91 Supplement Effective October 1, 2024 - Refer to Bulletin #155 for Benefit Status1542024-Sep-20Word PDF
Delisting from NIDPF and NLPDP Benefit List effective October 1, 20241512024-Sep-17Word PDF
Online version of NIDPF Vol. 90 effective September 1, 20241412024-Aug-30Word PDF
Benefit Status Effective September 1, 20241352024-Aug-22Word PDF
NIDPF Vol. 90 Supplement Effective September 1, 2024 - Refer to Bulletin #135 for Benefit Status1342024-Aug-22Word PDF
Online version of NIDPF Vol. 90 effective August 1, 20241272024-Jul-26Word PDF
NLPDP Benefit Status Effective August 1, 20241242024-Jul-22Word PDF
NIDPF Vol. 90 Supplement Effective August 1, 2024 - Refer to Bulletin #124 for Benefit Status1232024-Jul-22Word PDF
Online version of NIDPF Vol. 90 effective July 1, 20241212024-Jun-28Word PDF
Change in NLPDP Benefit Status: Delisting of Xigduo1202024-Jun-27Word PDF
NLPDP Benefit Status Effective July 1, 20241152024-Jun-20Word PDF
NIDPF Vol. 90 Supplement Effective July 1, 2024 - Refer to Bulletin #115 for Benefit Status1142024-Jun-20Word PDF
Online version of NIDPF Vol. 90 effective June 1, 20241052024-May-31Word PDF
NLPDP Benefit Status Effective June 1, 2024952024-May-23Word PDF
NIDPF Vol. 90 Supplement Effective June 1, 2024 - Refer to Bulletin #95 for Benefit Status942024-May-23Word PDF
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Document NameDateView
2024 - Payment Schedule2023-Dec-05Word PDF
2023 - Payment Schedule2022-Dec-05Word PDF
 
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