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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Benefit list update: TOBRAMYCIN 40mg/mL Vial1272021-Jul-16Word PDF
Short-Stock: Budesonide 0.5mg/ml1262021-Jul-15Word PDF
COVID-19 Vaccine - 28-Day Interval (please note attachment to bulletin)1252021-Jul-15Word PDF
Product Delistings effective August 1, 20211242021-Jul-13Word PDF
Benefit List update: AERMONY RESPICLICK1232021-Jul-07Word PDF
Benefit List update: Riximyo for MPA and GPA 1222021-Jul-07Word PDF
Benefit List update: TRUXIMA 10 mg/mL1212021-Jul-07Word PDF
Coverage Status of Nabilone 0.5mg and 1mg capsules1202021-Jul-02Word PDF
Update: Short-Stock: Methylphenidate HCL 36 mg1192021-Jul-02Word PDF
Benefit List update: New Addition_ Redesca1182021-Jul-02Word PDF
Online version of NIDPF Vol. 84 effective July 1, 20211172021-Jun-30Word PDF
Reimbursement of COVID-19 Vaccinations for Expired MCP Cards1162021-Jun-28Word PDF
NLPDP Benefit Status Effective July 1, 20211152021-Jun-28Word PDF
NIDPF Vol. 84 Supplement Effective July 1, 2021 - Refer to Bulletin #115 for Benefit Status1142021-Jun-28Word PDF
Benefit List Update_Criteria Update_Itraconazole1132021-Jun-28Word PDF
Short-Stock: Methylphenidate HCL 18 mg1122021-Jun-23Word PDF
Short-Stock: Methylphenidate HCL 36 mg1112021-Jun-18Word PDF
Application for Rural Subsidy1102021-Jun-18Word PDF
Update: Short-Stock: Losartan Potassium 50mg1092021-Jun-11Word PDF
Benefit List update: New Addition to an existing category_ XELJANZ XR 11mg TABLET1082021-Jun-09Word PDF
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Document Name: Date Range: To


Document NameDateView
Coverage Status Table - July 20212021-Jul-22 PDF
Coverage Status Table - June 20212021-Jun-24 PDF
Coverage Status Table - May 20212021-May-19 PDF
Coverage Status Table - April 20212021-Apr-23 PDF
Coverage Status Table - March 20212021-Mar-22 PDF
Coverage Status Table - February 20212021-Feb-11 PDF
Coverage Status Table - January 20212021-Jan-21 PDF
Coverage Status Table - December 20202020-Dec-10 PDF
Coverage Status Table - November 20202020-Nov-19 PDF
Coverage Status Table - October 20202020-Oct-16 PDF
Coverage Status Table - September 20202020-Sep-22 PDF
Coverage Status Table - August 20202020-Aug-24 PDF
Coverage Status Table - July 20202020-Jul-22 PDF
Coverage Status Table - June 20202020-Jun-25 PDF
Coverage Status Table - May 20202020-May-22 PDF
Coverage Status Table - April 20202020-Apr-24 PDF
Coverage Status Table - March 20202020-Apr-02 PDF
Coverage Status Table - February 20202020-Feb-14 PDF
Coverage Status Table - January 20202020-Jan-09 PDF
Coverage Status Table - December 20192019-Dec-20 PDF
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Document NameDateView
Diabetic Listing - January 12, 2021 (Refer to Bulletin #9 posted on January 12, 2021)2021-Jan-12Word PDF
Diabetic Listing - May, 2020(Refer to Bulletin #77 posted on May 1, 2020)2020-May-04Word PDF
Diabetic Listing - October, 2019 (Refer to Bulletin #206 posted on October 29, 2019)2019-Oct-30Word PDF
 
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Benefit List update: AERMONY RESPICLICK1232021-Jul-07Word PDF
Benefit List update: Riximyo for MPA and GPA 1222021-Jul-07Word PDF
Benefit List update: TRUXIMA 10 mg/mL1212021-Jul-07Word PDF
Benefit List update: New Addition_ Redesca1182021-Jul-02Word PDF
Benefit List Update_Criteria Update_Itraconazole1132021-Jun-28Word PDF
Benefit List update: New Addition to an existing category_ XELJANZ XR 11mg TABLET1082021-Jun-09Word PDF
Benefit List update: New Addition_ RUXIENCE 10mg/ml1072021-Jun-09Word PDF
Benefit List update: New Addition_ NIVESTYM 300 MCG/0.5ML and 480 MCG/1.6 ML1062021-Jun-09Word PDF
Benefit List update: New Addition_Prevymis 240mg, 480mg TABLET1052021-Jun-08Word PDF
Benefit List update: HADLIMA 40mg/0.8ml 1032021-Jun-08Word PDF
Benefit List Update: New criteria for BOSULIF1022021-Jun-04Word PDF
Benefit List Update: New criteria for INLYTA1012021-Jun-04Word PDF
Benefit List Update: New criteria for FULVESTRANT1002021-Jun-04Word PDF
Benefit List Update: New criteria for IBRANCE992021-Jun-04Word PDF
Benefit List Update: New Addition: INCLUNOX PREFILLED SYRINGE 982021-Jun-04Word PDF
Benefit List Update: Deferasirox (Jadenu 90mg, 80mg, 360mg Tablets and Generics)922021-May-21Word PDF
Benefit list update: New addition: RENVELA (SEVELAMER CARBONATE) 800mg, 0.8g, 2.4g 862021-May-11Word PDF
Benefit Status Update: Reviewed but not recommended for coverage: RETIN-A MIRCO GEL852021-May-10Word PDF
Benefit List Update: Criteria Update: PREGABALIN842021-May-07Word PDF
Benefit List Update: Criteria Update: GABAPENTIN832021-May-07Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Short-Stock: Budesonide 0.5mg/ml1262021-Jul-15Word PDF
Update: Short-Stock: Methylphenidate HCL 36 mg1192021-Jul-02Word PDF
Short-Stock: Methylphenidate HCL 18 mg1122021-Jun-23Word PDF
Short-Stock: Methylphenidate HCL 36 mg1112021-Jun-18Word PDF
Update: Short-Stock: Losartan Potassium 50mg1092021-Jun-11Word PDF
Short-Stock: Losartan Potassium 50mg972021-Jun-02Word PDF
Update - Short-Stock: Alendronic Acid/Vitamin D3 70 mg/5600IU 762021-Apr-30Word PDF
Update: Short-Stock - Ramipril-HCTZ 5/12.5mg582021-Apr-09Word PDF
Short-Stock: Alendronic Acid/Vitamin D3 70 mg/5600IU 492021-Mar-23Word PDF
Update - Short-Stock: Cabergoline 0.5 mg422021-Mar-05Word PDF
Update - Short-Stock: Verapamil SR 120 mg372021-Feb-26Word PDF
Update - Short Stock: Clindamycin/Benzoyl Peroxide 1 Percent / 5 Percent w/w312021-Feb-19Word PDF
Update - Short-Stock: Estradiol Transdermal 75 ug Patch 302021-Feb-19Word PDF
Update - Short-Stock: Eletriptan Hydrobromide 40mg 292021-Feb-18Word PDF
Short Stock: Clindamycin/Benzoyl Peroxide 1 Percent / 5 Percent w/w272021-Feb-04Word PDF
Update - Short-Stock - Dextroamphetamine Extended Release 15mg262021-Feb-03Word PDF
Update - Short-Stock: Brimonidine Tartrate . 0.2 percent152021-Jan-19Word PDF
Update - Short-Stock: Famciclovir 250mg142021-Jan-19Word PDF
Update - Short-Stock: Irbesartan 150mg 132021-Jan-19Word PDF
Short-Stock: Atropine 1 Percent102021-Jan-12Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Product Delistings effective August 1, 20211242021-Jul-13Word PDF
Online version of NIDPF Vol. 84 effective July 1, 20211172021-Jun-30Word PDF
NLPDP Benefit Status Effective July 1, 20211152021-Jun-28Word PDF
NIDPF Vol. 84 Supplement Effective July 1, 2021 - Refer to Bulletin #115 for Benefit Status1142021-Jun-28Word PDF
Online version of NIDPF Vol. 84 effective June 1, 2021962021-Jun-01Word PDF
Product Delistings effective June 1, 2021952021-Jun-01Word PDF
Correction: NLPDP Benefit Status Effective June 1, 2021902021-May-26Word PDF
Correction: NIDPF Vol. 84 Supplement Effect June 1, 2021 - Refer to Bulletin #90 for Benefit Status892021-May-26Word PDF
Online version of NIDPF Vol. 84 effective May 1, 2021772021-Apr-30Word PDF
NLPDP Benefit Status Effective May 1, 2021752021-Apr-28Word PDF
NIDPF Vol. 84 Supplement Effective May 1, 2021 - Refer to Bulletin #75 for Benefit Statu742021-Apr-28Word PDF
NIDPF Delisting - Glimepiride (Ratio & Apotex) 1mg 2mg 4mg732021-Apr-27Word PDF
NIDPF Delisting - PMS-CLONAZEPAM 1 MG TABLET632021-Apr-16Word PDF
NIDPF Delisting - Proctodan-HC 10mg-20mg-10mg Suppository 622021-Apr-16Word PDF
Online version of NIDPF Vol. 84 effective April 1, 2021562021-Apr-01Word PDF
NLPDP Benefit Status Effective April 1, 2021522021-Mar-25Word PDF
NIDPF Vol. 84 Supplement Effective April 1, 2021 - Refer to Bulletin #52 for Benefit Status512021-Mar-25Word PDF
Online version of NIDPF Vol. 83 effective March 1, 2021392021-Mar-01Word PDF
NLPDP Benefit Status Effective March 1, 2021362021-Feb-26Word PDF
NIDPF Vol. 83 Supplement Effective March 1, 2021 - Refer to Bulletin #36 for Benefit Status352021-Feb-26Word PDF
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Document NameDateView
2021 - Payment Schedule2020-Dec-17Word PDF
2020 Payment Schedule2019-Dec-09Word PDF
 
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