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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Short-Stock - Indapamide Hemiphydrate 1.25mg462017-Feb-24Word PDF
Spec Auth criteria: Bridging Anticoagulation with Lovenox/Fragmin452017-Feb-22Word PDF
Notice to Providers - Impending Snow Storm442017-Feb-15Word PDF
Notice to Providers - Impending Snow Storm432017-Feb-14Word PDF
Benefit Status Update: OPEN benefit_CADUET422017-Feb-13Word PDF
Update: Short-Stock - Carbamazepine 100 mg412017-Feb-10Word PDF
Update: Short-Stock - Nitroglycerin 0.4mg/act402017-Feb-06Word PDF
Benefit list Update: OPEN Benefit_Asmanex Twisthaler 100 MCG392017-Feb-03Word PDF
Benefit List Update: New addition_ DAPAGLIFLOZIN (FORXIGA 5mg, 10mg tablet)382017-Feb-02Word PDF
Benefit List Update: New addition_NINTEDANIB (OFEV 100mg, 150mg capsule)372017-Feb-02Word PDF
Online version of NIDPF Vol. 75 Supplement effective February 1, 2017362017-Feb-01Word PDF
Special Auth-criteria update: Cholinesterase Inhibitors(ChEI): donepezil, rivastigmine & galantamine352017-Feb-01Word PDF
New drug additions: Special Authorization_SODIUM BICARBONATE 500mg tablets342017-Jan-30Word PDF
Addition to existing category_HUMALOG KWIKPEN 200 UNIT/ML332017-Jan-30Word PDF
Update: Short-Stock - Clarithromycin XL 500mg322017-Jan-27Word PDF
Update: Short-Stock - Indapamide Hemiphydrate 1.25mg312017-Jan-27Word PDF
Short-Stock - Carbamazepine 100 mg302017-Jan-27Word PDF
Short-Stock - Ramipril-HCTZ 5/25 mg292017-Jan-26Word PDF
NLPDP Provider Guide Update282017-Jan-24Word PDF
Short-Stock - Carbidopa/Levodopa 25/100 mg CR272017-Jan-24Word PDF
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Document Name: Date Range: To

Document NameDateView
Coverage Status Table - February 10, 20172017-Feb-10 PDF
Coverage Status Table - January 11, 20172017-Jan-13 PDF
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
 
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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
 
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Benefit Status Update: OPEN benefit_CADUET422017-Feb-13Word PDF
Benefit list Update: OPEN Benefit_Asmanex Twisthaler 100 MCG392017-Feb-03Word PDF
Benefit List Update: New addition_ DAPAGLIFLOZIN (FORXIGA 5mg, 10mg tablet)382017-Feb-02Word PDF
Benefit List Update: New addition_NINTEDANIB (OFEV 100mg, 150mg capsule)372017-Feb-02Word PDF
Special Auth-criteria update: Cholinesterase Inhibitors(ChEI): donepezil, rivastigmine & galantamine352017-Feb-01Word PDF
New drug additions: Special Authorization_SODIUM BICARBONATE 500mg tablets342017-Jan-30Word PDF
Addition to existing category_HUMALOG KWIKPEN 200 UNIT/ML332017-Jan-30Word PDF
New Drug Therapy ZYDELIG Effective January 1, 2017 222017-Jan-18Word PDF
Important - NovoRapid Benefit Status Reminder202017-Jan-18Word PDF
Benefit Status Update: Reviewed and not recommended: Vidextra_Humatin_Fucithalmic gtts_Fosrena192017-Jan-18Word PDF
Benefit Status Update: Reviewed but not considered under NLPDP: Ropivicaine182017-Jan-18Word PDF
Benefit Status Update: Reviewed but not considered under NLPDP: Plan B172017-Jan-18Word PDF
Clarification of bltn 187 Inflectra (infliximab) for Crohns and ulcerative colitis treatment naive162017-Jan-16Word PDF
Benefit List Update: Special Authorization criteria update_Renagel 800mg122017-Jan-11Word PDF
Benefit list update: Open benefit moved to Special Authorization: SABRIL 102017-Jan-11Word PDF
Benefit list update: OPEN benefit_Tizanidine82017-Jan-11Word PDF
Benefit Status Update: OPEN Benefit Novo Rapid72017-Jan-10Word PDF
Benefit list update: Special Authorization: VYVANSE 10mg, 20mg, 30mg, 40mg, 50mg, 60mg62017-Jan-09Word PDF
Benefit list update: OPEN benefit_PMS-Colchicine, Tizanidine, Divigel, Levetiracetam & Midodrine 32017-Jan-05Word PDF
Benefit list update: Aggrenox 22017-Jan-03Word PDF
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Short-Stock - Indapamide Hemiphydrate 1.25mg462017-Feb-24Word PDF
Update: Short-Stock - Carbamazepine 100 mg412017-Feb-10Word PDF
Update: Short-Stock - Nitroglycerin 0.4mg/act402017-Feb-06Word PDF
Update: Short-Stock - Clarithromycin XL 500mg322017-Jan-27Word PDF
Update: Short-Stock - Indapamide Hemiphydrate 1.25mg312017-Jan-27Word PDF
Short-Stock - Carbamazepine 100 mg302017-Jan-27Word PDF
Short-Stock - Ramipril-HCTZ 5/25 mg292017-Jan-26Word PDF
Short-Stock - Carbidopa/Levodopa 25/100 mg CR272017-Jan-24Word PDF
Short-Stock - Naratriptan 2.5 mg262017-Jan-23Word PDF
Short-Stock - Ipratropium Bromide/Salbutamol 0.5mg/2.5mg212017-Jan-18Word PDF
Update Short-Stock - Salbutamol 1mg/ml Inhalation Preser. Free (2.5 ml Nebule)152017-Jan-13Word PDF
Update Short-Stock - Oxycodone Hydrochloride 10mg142017-Jan-13Word PDF
Update Short-Stock - Candesartan Cilexetil/Hydrochlroyhiazide 32mg/12.5mg132017-Jan-13Word PDF
Short-Stock - Nitroglycerin 0.4mg/act92017-Jan-11Word PDF
Update Short-Stock - Mometasone 0.1 Percent Cream52017-Jan-06Word PDF
Update Short-Stock - Risperidone 1mg/ml42017-Jan-06Word PDF
Short-Stock - Candesartan Cilexetil/Hydrochlroyhiazide 32mg/12.5mg12017-Jan-03Word PDF
Short-Stock: Oxycodone Hydrochloride 10mg 2002016-Dec-28Word PDF
Update Short-Stock - Quinapril/Hydrochlorothiazide 20mg/25mg1992016-Dec-28Word PDF
Update Short Stock - Quinapril/Hydrochlorothiazide 10mg/12.5mg1982016-Dec-23Word PDF
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Online version of NIDPF Vol. 75 Supplement effective February 1, 2017362017-Feb-01Word PDF
NLPDP Benefit Status Effective February 1, 2017252017-Jan-20Word PDF
NIDPF Vol. 75 Supplement Effective February 1, 2017 - Refer to Bulletin #25 for Benefit Status242017-Jan-20Word PDF
Delisting from the NIDPF and from the NLPDP Benefit List232017-Jan-20Word PDF
Online version of NIDPF Vol. 75 Supplement effective January 1, 20172012016-Dec-30Word PDF
NLPDP Benefit Status Effective January 1, 20171952016-Dec-19Word PDF
NIDPF Vol. 75 Supplement Effective January 1, 2017 - Refer to Bulletin #195 for Benefit Status1942016-Dec-19Word 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
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
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Document Name: Date Range: To

Document NameDateView
2017 Payment Schedule2016-Dec-19Word PDF
NLPDP Application for Participation2016-Dec-06Word PDF
2016 Payment Schedule2015-Dec-17Word PDF
 
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