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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Short-Stock: Risperidone 1mg/ml1912016-Dec-09Word PDF
Benefit list additions: OPEN benefit_Nat-citapopram 10mg1902016-Dec-09Word PDF
Benefit status change (buprenorphine/naloxone)1892016-Dec-06Word PDF
Criteria Update: Tudorza Genuair - COPD 1882016-Dec-05Word PDF
New Additions to an existing category: Inflectra (infliximab) for Crohns and ulcerative colitis1872016-Dec-05Word PDF
ANNOUNCEMENT OF IMPROVED NLPDP WEBSITE1862016-Dec-02Word PDF
Online version NIDPF Vol. 75 with Supplement effective December1, 20161852016-Dec-01Word PDF
NLPDP Benefit Status Effective December 1, 20161842016-Nov-24Word PDF
NIDPF Vol. 75 Supplement Effective December 1, 2016 - Refer to Bulletin #184 for Benefit Status1832016-Nov-24Word PDF
Benefit List Update: ESBRIET 267mg (PIRFENIDONE) criteria update1822016-Nov-24Word PDF
New addition to existing category: ORENCIA 125 MG/ML SYRINGE1812016-Nov-24Word PDF
Clarification of NLPDP's Days Supply Policy1802016-Nov-18Word PDF
Benefit list update_New addition_Cosentyx_for psoriasis1792016-Nov-15Word PDF
Short-Stock: Salbutamol 1mg/ml Inhalation Preser. Free (2.5 ml Nebule)1782016-Nov-07Word PDF
Online version of NIDPF Vol. 75 effective November 1, 20161772016-Nov-01Word PDF
NEW ADDITION: PREZCOBIX 800 MG-150 MG TABLET (DARUNAVIR/COBICISTAT)1762016-Oct-31Word PDF
New addition to existing category: Breo Ellipta_Asthma1752016-Oct-28Word PDF
New addition to existing category: Tobi Podhaler1742016-Oct-28Word PDF
Criteria Update: Gilenya (Fingolimod)1732016-Oct-28Word PDF
Update Short-Stock: Ipratropium Bromide 0.03 Percent1722016-Oct-28Word PDF
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Document Name: Date Range: To

Document NameDateView
Coverage Status Table - December 3, 20162016-Dec-07 PDF
Coverage Status Table - November 3, 20162016-Nov-04 PDF
Coverage Status Table - October 12, 20162016-Oct-13 PDF
Coverage Status Table - September 1, 20162016-Sep-02 PDF
Coverage Status Table - May 1, 20162016-May-12 PDF
Coverage Status Table - March 1, 20162016-Mar-08 PDF
Coverage Status Table - February 1, 20162016-Feb-18 PDF
Coverage Status Table - January 1, 20162016-Jan-15 PDF
(Revised) Coverage Status Table - December 1, 20152015-Dec-15 PDF
Coverage Status Table - December 1, 20152015-Dec-11 PDF
Coverage Status Table - November 1, 20152015-Nov-18 PDF
Coverage Status Table - October 1, 20152015-Oct-14 PDF
Coverage Status Table - September 1, 20152015-Sep-11 PDF
Coverage Status Table - July 1, 20152015-Jul-16 PDF
Coverage Status Table - June 1, 20152015-Jun-12 PDF
Coverage Status Table - May 1, 20152015-May-14 PDF
Coverage Status Table - April 1, 20152015-Apr-16 PDF
Coverage Status Table - February, 20152015-Feb-19 PDF
Coverage Status Table - January, 20152015-Jan-23 PDF
 
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Document Name: Date Range: To

Document NameDateView
Diabetic Listing - July 29, 2016 (Refer to Bulletins #134 and #140 posted on July 29, 2016)2016-Jul-29Word PDF
Diabetic Listing - July 27, 2016 (Refer to Bulletin #134 posted on July 27, 2016)2016-Jul-28Word PDF
Diabetic Listing - June 22, 2016 (Refer to Bulletin #110 posted on June 22, 2016)2016-Jun-22Word PDF
Diabetic Listing - March 3, 2016 (Refer to Bulletin #40 posted on March 3, 2016)2016-Mar-03Word PDF
Diabetic Listing - January 20, 2016 (Refer to Bulletin #10 posted on January 20, 2016)2016-Jan-20Word PDF
Diabetic Listing - January 8, 2016 (Refer to Bulletin #02 posted on January 8, 2016)2016-Jan-08Word PDF
Diabetic Listing - November 12, 20152015-Nov-12Word PDF
Diabetic Listing - November, 20152015-Nov-03Word PDF
Diabetic Listing - June, 20152015-Jun-25Word PDF
Diabetic Listing - April, 20152015-Apr-16Word PDF
Diabetic Listing - January, 20152015-Jan-06Word PDF
 
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Benefit list additions: OPEN benefit_Nat-citapopram 10mg1902016-Dec-09Word PDF
Criteria Update: Tudorza Genuair - COPD 1882016-Dec-05Word PDF
New Additions to an existing category: Inflectra (infliximab) for Crohns and ulcerative colitis1872016-Dec-05Word PDF
Benefit List Update: ESBRIET 267mg (PIRFENIDONE) criteria update1822016-Nov-24Word PDF
New addition to existing category: ORENCIA 125 MG/ML SYRINGE1812016-Nov-24Word PDF
Benefit list update_New addition_Cosentyx_for psoriasis1792016-Nov-15Word PDF
NEW ADDITION: PREZCOBIX 800 MG-150 MG TABLET (DARUNAVIR/COBICISTAT)1762016-Oct-31Word PDF
New addition to existing category: Breo Ellipta_Asthma1752016-Oct-28Word PDF
New addition to existing category: Tobi Podhaler1742016-Oct-28Word PDF
Criteria Update: Gilenya (Fingolimod)1732016-Oct-28Word PDF
Benefit Status Update: OPEN Benefit - Apidra1652016-Oct-12Word PDF
Benefit Status Update: OPEN Benefit- Sandoz amlodipine 2.5mg1532016-Sep-13Word PDF
Benefit Status Update: OPEN Benefit- LODALIS 3.75 Gram Packet (COLESEVELAM) 1392016-Jul-29Word PDF
Benefit Status Update: IBAVYR 200 MG TABLET1382016-Jul-29Word PDF
New additions: Fibristal 5mg_Uterine Fibroids1372016-Jul-29Word PDF
Update: Benefit list updates_New additions to existing categories_Actemra 1262016-Jul-12Word PDF
Benefit list updates_New additions_ JARDIANCE 10mg 25mg1252016-Jul-08Word PDF
Benefit list updates _New additions to existing categories_Spiriva Respimat1242016-Jul-08Word PDF
Benefit list updates_New additions_ INSPIOLTO RESPIMAT1232016-Jul-08Word PDF
Benefit list updates_New additions to existing categories_Actemra 1222016-Jul-08Word PDF
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Short-Stock: Risperidone 1mg/ml1912016-Dec-09Word PDF
Short-Stock: Salbutamol 1mg/ml Inhalation Preser. Free (2.5 ml Nebule)1782016-Nov-07Word PDF
Update Short-Stock: Ipratropium Bromide 0.03 Percent1722016-Oct-28Word PDF
Update Short-Stock : Clarithromycin XL 500mg1692016-Oct-21Word PDF
Update Short-Stock: Salbutamol 1 mg/mL Inhalation Preser. Free (2.5ml Nebule)1672016-Oct-14Word PDF
Short Stocks: Drospirenone/Ethinyl Estradiol 3mg/0.02mg and 3mg/0.03mg 21 pkg & 28 pkg1642016-Oct-12Word PDF
Short-Stocks: Clarithromycin XL 500mg & Salbutamol 1mg/ml Inhalation Preser. Free (2.5ml Nebule)1622016-Oct-03Word PDF
Short-Stock: Verapamil SR 180 mg1582016-Sep-28Word PDF
Update Short-Stock: Clobazam 10 mg1542016-Sep-23Word PDF
DOD - Valproic Acid 500mg1472016-Aug-24Word PDF
Short-Stock: Quinapril/Hydrochlorothiazide 10mg/12.5mg1462016-Aug-22Word PDF
Update Short-Stock: Ursodiol 500mg1442016-Aug-18Word PDF
Short-Stock: Clobazam 10 mg1432016-Aug-17Word PDF
Update Short-Stock: Octreotide 100mcg/ml1422016-Aug-05Word PDF
Short-Stock: Ursodiol 500mg1412016-Aug-04Word PDF
Short-Stock: Octreotide 100mcg/ml1332016-Jul-26Word PDF
Update Short-Stock: Nitroglycerin 0.4mg/act1322016-Jul-22Word PDF
Short-Stock: Quinapril/Hydrochlorothiazide 20mg/12.5mg1292016-Jul-20Word PDF
Short-Stock: Quinapril/Hydrochlorothiazide 20mg/25mg1282016-Jul-19Word PDF
Update Short-Stock: Octreotide 100mcg/ml1272016-Jul-15Word PDF
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Online version NIDPF Vol. 75 with Supplement effective December1, 20161852016-Dec-01Word PDF
NLPDP Benefit Status Effective December 1, 20161842016-Nov-24Word PDF
NIDPF Vol. 75 Supplement Effective December 1, 2016 - Refer to Bulletin #184 for Benefit Status1832016-Nov-24Word PDF
Online version of NIDPF Vol. 75 effective November 1, 20161772016-Nov-01Word PDF
NLPDP Benefit Status Effective November 1, 20161712016-Oct-26Word PDF
NIDPF Vol. 75 Supplement Effective November 1, 2016 - Refer to Bulletin #171 for Benefit Status1702016-Oct-26Word PDF
Limitation Correction for Tolterodine 1mg and 2mg Tablets 1632016-Oct-07Word PDF
Online version of NIDPF Vol. 75 effective October 1, 20161612016-Sep-30Word PDF
NIDPF and NLPDP Delisting Effective October 1, 20161572016-Sep-26Word PDF
NLPDP Benefit Status Effective October 1, 20161562016-Sep-26Word PDF
NIDPF Vol. 75 Supplement Effective October 1, 2016 - Refer to Bulletin #156 for Benefit Status1552016-Sep-26Word PDF
Online version of NIDPF Vol. 74 effective September 1, 20161502016-Sep-01Word PDF
NLPDP Benefit Status Effective September 1, 20161492016-Aug-29Word PDF
NIDPF Vol. 74 Supplement Effective September 1, 2016 - Refer to Bulletin #149 for Benefit Status1482016-Aug-29Word PDF
Online version of NIDPF Vol. 74 effective August 1, 20161362016-Jul-29Word PDF
NLPDP Benefit Status Effective August 1, 20161312016-Jul-22Word PDF
NIDPF Vol. 74 Supplement Effective August 1, 2016 - Refer to Bulletin #131 for Benefit Status1302016-Jul-22Word PDF
Online version of NIDPF Vol. 74 effective July 1, 20161142016-Jun-30Word PDF
NLPDP Benefit Status Effective July 1, 20161132016-Jun-27Word PDF
NIDPF Vol. 74 Supplement Effective July 1, 2016 - Refer to Bulletin #113 for Benefit Status1122016-Jun-27Word PDF
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Document Name: Date Range: To

Document NameDateView
Deposit Form2016-Dec-06Word PDF
2016 Payment Schedule2015-Dec-17Word PDF
 
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