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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Benefit Status Update - Effective December 1, 20181882018-Dec-17Word PDF
Benefit Status Change - Imatinib Mesylate 100mg and 400mg1872018-Dec-12Word PDF
Benefit List Updates: New Addition_ODEFSEY 200mg-25mg-25mg tablet1862018-Dec-10Word PDF
Benefit List Updates: New Addition_ BRIVARACETAM (BRIVLERA 10mg, 25mg, 50mg, 75mg, 100mg)1852018-Dec-07Word PDF
Benefit Status Update Firmagon - Effective December 1, 20181842018-Dec-07Word PDF
Update to Bulletin #170: Smoking Cessation Program Expansion Effective December 4, 20181832018-Dec-06Word PDF
Benefit Status Change - Habitrol 7mg/14mg & 21mg1822018-Dec-06Word PDF
Delisting - Furosemide 20mg and 40mg Tablets1812018-Dec-06Word PDF
Online version of NIDPF Vol. 79 effective December 4, 20181802018-Dec-04Word PDF
Benefit List Update: New Addition to an existing category: Renflexis 100mg vial (infliximab)1792018-Dec-03Word PDF
Reminder - Smoking Cessation Program Expansion Effective December 4, 20181782018-Dec-03Word PDF
Online version of NIDPF Vol. 79 effective December 1, 20181772018-Nov-30Word PDF
Update: Short-Stock - Bupropion 150mg1762018-Nov-23Word PDF
Update: Short-Stock - Bupropion 300mg1752018-Nov-23Word PDF
NLPDP Benefit Status Effective December 4, 20181742018-Nov-21Word PDF
NIDPF Vol. 79 Supplement Effective December 4, 2018 - Refer to Bulletin #174 for Benefit Status1732018-Nov-21Word PDF
NLPDP Benefit Status Effective December 1, 20181722018-Nov-21Word PDF
NIDPF Vol. 79 Supplement Effective December 1, 2018 - Refer to Bulletin #172 for Benefit Status1712018-Nov-21Word PDF
Changes and Expansion to the Smoking Cessation Program's Nicotine Replacement Therapy Products (NRT)1702018-Nov-15Word PDF
New Drug Additions: Vosevi and Hepatitis C expansion1692018-Nov-15Word PDF
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Document Name: Date Range: To


Document NameDateView
Coverage Status Table - November 20182018-Nov-23 PDF
Coverage Status Table - October 20182018-Nov-16 PDF
Coverage Status Table - September, 20182018-Sep-25 PDF
Coverage Status Table - August, 20182018-Aug-23 PDF
Coverage Status Table - July, 20182018-Jul-26 PDF
Coverage Status Table - June, 20182018-Jun-20 PDF
Coverage Status Table - April, 20182018-Apr-24 PDF
Coverage Status Table - March, 20182018-Mar-21 PDF
Coverage Status Table - February, 20182018-Feb-13 PDF
Coverage Status Table - January, 20182018-Jan-18 PDF
Coverage Status Table - December 1, 20172017-Dec-18 PDF
Coverage Status Table - November 1, 20172017-Nov-22 PDF
Coverage Status Table - October 1, 20172017-Oct-13 PDF
Coverage Status Table - September 1, 20172017-Sep-27 PDF
Coverage Status Table - July 1, 20172017-Jul-12 PDF
Coverage Status Table - June, 20172017-Jun-16 PDF
Coverage Status Table - April, 20172017-Apr-11 PDF
Coverage Status Table - March 2, 20172017-Mar-08 PDF
Coverage Status Table - February 10, 20172017-Feb-10 PDF
Coverage Status Table - January 11, 20172017-Jan-13 PDF
 
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Document Name: Date Range: To


Document NameDateView
Diabetic Listing - August 3, 2018 (Refer to Bulletin #116 posted on August 3, 2018)2018-Aug-03Word PDF
Diabetic Listing - November 10, 2017 (Refer to Bulletin #192 posted on November 10, 2017)2017-Nov-10Word PDF
Diabetic Listing - October 31, 2017 (Refer to Bulletin #189 posted on October 31, 2017)2017-Oct-31Word PDF
Diabetic Listing - September 22, 2017 (Refer to Bulletin #164 posted on September 22, 2017)2017-Sep-22Word PDF
Diabetic Listing - April 6, 2017 (Refer to Bulletin #73 posted on April 6, 2017)2017-Apr-06Word PDF
 
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Benefit List Updates: New Addition_ODEFSEY 200mg-25mg-25mg tablet1862018-Dec-10Word PDF
Benefit List Updates: New Addition_ BRIVARACETAM (BRIVLERA 10mg, 25mg, 50mg, 75mg, 100mg)1852018-Dec-07Word PDF
Benefit List Update: New Addition to an existing category: Renflexis 100mg vial (infliximab)1792018-Dec-03Word PDF
New Drug Additions: Vosevi and Hepatitis C expansion1692018-Nov-15Word PDF
Benefit List Update: New Drug Addition: Firazyr 30mg/ml pre-filled syringe1642018-Nov-08Word PDF
New Drug Therapies_Special Authorization: Nucala 1522018-Oct-16Word PDF
Benefit List Update: New Addition: Creon Minimicrospheres Micro1422018-Sep-18Word PDF
Benefit List Update: New Addition: MICTORYL PEDIATRIC 5 MG TABLET1402018-Sep-13Word PDF
Benefit List Update: New Addition to an existing category: TRUVADA for PrEP1382018-Sep-12Word PDF
Benefit List Update: Glatect 20mg/ml (glatitamer)1212018-Aug-20Word PDF
Benefit List Update_New Addition to Existing Category: IBRUTINIB (IMBRUVICA) 140MG 1182018-Aug-07Word PDF
New Benefit Additions: Invega Trinza1032018-Jul-18Word PDF
New DIN Addition: PONATINIB (ICLUSIG) 15MG 1002018-Jul-13Word PDF
New Addition: Mepron 750mg/5ml972018-Jul-06Word PDF
Criteria Update - for drugs to treat overactive bladder (OAB) 952018-Jul-03Word PDF
Benefit List Update_New Addition: KYLEENA INTRAUTERINE SYSTEM872018-Jun-14Word PDF
Benefit List Update_New Addition to existing category: Esbriet 267mg tablet, 801mg tablet852018-Jun-05Word PDF
Benefit List Update_New Addition: ENTRESTO (SACUBITRIL/VALSARTAN)842018-Jun-05Word PDF
Benefit List Update: New drug addition_Strattera822018-May-30Word PDF
Benefit list updates_New additions_Lenvima812018-May-30Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Update: Short-Stock - Bupropion 150mg1762018-Nov-23Word PDF
Update: Short-Stock - Bupropion 300mg1752018-Nov-23Word PDF
Short-Stock - Verapamil SR 180 mg1682018-Nov-14Word PDF
Update: Short-Stock - Acebutolol Hydrochloride 100 mg1672018-Nov-09Word PDF
Update: Short-Stock - Acebutolol Hydrochloride 200mg1662018-Nov-09Word PDF
Update: Short-Stock - Nitrofurantoin Monohydrate/Macrocrystals 100mg1622018-Nov-02Word PDF
Update: Short-Stock - Methylphenidate HCL 54 mg1592018-Oct-25Word PDF
Short-Stock - Diclofenac Sodium SR 75 mg1582018-Oct-23Word PDF
Update: Short-Stock - Mometasone 0.1 Percent Cream1572018-Oct-23Word PDF
Short-Stock - Quinapril 40mg 1542018-Oct-19Word PDF
Update: Short-Stock - Carbamazepine 100mg/5ml1512018-Oct-12Word PDF
Update: Short Stock Ramipril-HCTZ 2.5/12.5mg1502018-Oct-05Word PDF
Update: Short-Stock - Ramipril-HCTZ 5/25 mg1492018-Oct-05Word PDF
Short-Stock - Nitrofurantoin Monohydrate/Macrocrystals 100mg1482018-Oct-01Word PDF
Update: Short-Stock - Benzoyl Peroxide, Clindamycin 5 percent / 1 percent1412018-Sep-17Word PDF
Short-Stock - Mometasone 0.1 Percent Cream1372018-Sep-11Word PDF
Short-Stock - Benzoyl Peroxide, Clindamycin 5 percent / 1 percent1362018-Sep-11Word PDF
Update: Short-Stock - Nabilone 0.5mg1342018-Sep-04Word PDF
Update: Short-Stock - Carbidopa/Levodopa 50/200 mg CR1332018-Aug-31Word PDF
Short-Stock - Methylphenidate HCL 54 mg1302018-Aug-30Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Delisting - Furosemide 20mg and 40mg Tablets1812018-Dec-06Word PDF
Online version of NIDPF Vol. 79 effective December 4, 20181802018-Dec-04Word PDF
Online version of NIDPF Vol. 79 effective December 1, 20181772018-Nov-30Word PDF
NLPDP Benefit Status Effective December 4, 20181742018-Nov-21Word PDF
NIDPF Vol. 79 Supplement Effective December 4, 2018 - Refer to Bulletin #174 for Benefit Status1732018-Nov-21Word PDF
NLPDP Benefit Status Effective December 1, 20181722018-Nov-21Word PDF
NIDPF Vol. 79 Supplement Effective December 1, 2018 - Refer to Bulletin #172 for Benefit Status1712018-Nov-21Word PDF
Online version of NIDPF Vol. 79 effective November 1, 20181612018-Nov-01Word PDF
Delisting - Apo-Cephalex 250mg and 500mg Tablets1602018-Oct-25Word PDF
NLPDP Benefit Status Effective November 1, 20181562018-Oct-23Word PDF
NIDPF Vol. 79 Supplement Effective November 1, 2018 - Refer to Bulletin #156 for Benefit Status1552018-Oct-23Word PDF
Online version of the NIDPF Vol. 79 effective October 1, 20181472018-Oct-01Word PDF
NLPDP Benefit Status Effective October 1, 20181442018-Sep-20Word PDF
NIDPF Vol. 79 Supplement Effective October 1, 2018 - Refer to Bulletin #144 for Benefit Status1432018-Sep-20Word PDF
Delisting from NIDPF and NLPDP Benefit List Effective October 1, 20181392018-Sep-13Word PDF
Online version of the NIDPF Vol. 78 effective September 1, 20181312018-Aug-31Word PDF
NLPDP Benefit Status Effective September 1, 20181272018-Aug-24Word PDF
NIDPF Vol. 78 Supplement Effective September 1, 2018 - Refer to Bulletin #127 for Benefit Status1262018-Aug-24Word PDF
Online version of the NIDPF Vol. 78 effective August 1, 20181142018-Jul-31Word PDF
NLPDP Benefit Status Effective August 1, 20181122018-Jul-24Word PDF
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Document Name: Date Range: To


Document NameDateView
NLPDP Application for Participation2018-Jun-18Word PDF
2018 Payment Schedule2017-Dec-12Word PDF
2017 Payment Schedule2016-Dec-19Word PDF
 
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