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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
RE: State of Emergency in effect for Monday, January 20, 202092020-Jan-20Word PDF
Re: Blizzard Warning for Friday, January 17, 202082020-Jan-16Word PDF
Short Stock - Dorzolamide Timolol 20mg/5mg/ml 72020-Jan-13Word PDF
Short Stock -Timolol Maleate 0.5 percent Ophth Solution62020-Jan-10Word PDF
Short Stock - Losartan Potassium 100mg52020-Jan-09Word PDF
Short Stock - Candesartan 32mg42020-Jan-08Word PDF
Notice to Providers - Re: Snowstorm32020-Jan-06Word PDF
Benefit List Update: New Addition: Trelegy Ellipta 100 mcg-62.5 mcg-25 mcg22020-Jan-03Word PDF
Short Stock - Verapamil SR 120 mg12020-Jan-02Word PDF
Online version of NIDPF Vol. 81 effective January 1, 20202432019-Dec-31Word PDF
Short Stock - Candesartan Cilexetil/Hydrochlorothiazide 32mg/25mg2422019-Dec-30Word PDF
Update: Short-Stock - Carbamazepine 200 mg2412019-Dec-27Word PDF
Update: Short-Stock - Olmesartan/Hydrochlorothiazide 40mg/25mg2402019-Dec-27Word PDF
Update: Short-Stock - Olmesartan/Hydrochlorothiazide 40mg/12.5mg 2392019-Dec-27Word PDF
Short Stock - Butalbital/Codeine Phosphate/Acetylasalicylic Acid/Caffeine C1/22382019-Dec-23Word PDF
NLPDP Benefit Status Effective January 1, 20202372019-Dec-20Word PDF
NIDPF Vol. 81 Supplement Effective January 1, 2020- Refer to Bulletin #237 for Benefit Status2362019-Dec-20Word PDF
Changes to the Smoking Cessation Programs NRT's Products2352019-Dec-19Word PDF
Benefit List Update: New Addition: MAVIRET 100 MG-40 MG TABLET2342019-Dec-18Word PDF
Short-Stock - Butalbital/Codeine Phosphate/Acetylasalicylic Acid/Caffeine C1/42332019-Dec-18Word PDF
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Document Name: Date Range: To


Document NameDateView
Coverage Status Table - January 20202020-Jan-09 PDF
Coverage Status Table - December 20192019-Dec-20 PDF
Coverage Status Table - November 20192019-Nov-22 PDF
Coverage Status Table - October 20192019-Oct-25 PDF
Coverage Status Table - September 20192019-Sep-24 PDF
Coverage Status Table - August 20192019-Aug-27 PDF
Coverage Status Table - July, 20192019-Jul-05 PDF
Coverage Status Table - June 20192019-Jun-18 PDF
Coverage Status Table - May 20192019-May-17 PDF
Coverage Status Table - April, 20192019-Apr-15 PDF
Coverage Status Table - March, 20192019-Mar-25 PDF
Coverage Status Table - February, 20192019-Feb-08 PDF
Coverage Status Table - January 20192019-Jan-24 PDF
Coverage Status Table - December 20182018-Dec-21 PDF
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
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Document Name: Date Range: To


Document NameDateView
Diabetic Listing - October, 2019 (Refer to Bulletin #206 posted on October 29, 2019)2019-Oct-30Word PDF
Diabetic Listing - July, 2019 (Refer to Bulletin #132 posted on July 12, 2019)2019-Jul-12Word PDF
Diabetic Listing - March, 2019 (Refer to Bulletin #56 posted on March 22, 2019)2019-Mar-22Word PDF
Diabetic Listing - August 3, 2018 (Refer to Bulletin #116 posted on August 3, 2018)2018-Aug-03Word PDF
 
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Benefit List Update: New Addition: Trelegy Ellipta 100 mcg-62.5 mcg-25 mcg22020-Jan-03Word PDF
Benefit List Update: New Addition: MAVIRET 100 MG-40 MG TABLET2342019-Dec-18Word PDF
Benefit List Update: Special Authorization: New Addition: ACCEL-SEVELAMER 800mg2312019-Dec-10Word PDF
Benefit List Update: KEVZARA 150mg and 200mg , 1.14ml prefilled syringe and pen2292019-Dec-04Word PDF
Benefit List Update: Probuphine 80mg Implant2282019-Dec-04Word PDF
New Din Addition: Special Authorization_Ozempic2242019-Nov-27Word PDF
Benefit List Update: New Addition Juluca 50mg/25mg2052019-Oct-29Word PDF
Benefit List Update: New Addition: Biktarvy 50mg/200mg/25mg2002019-Oct-24Word PDF
Benefit list updates_New additions_FULVESTRANT 250MG/5ML SYRINGE1982019-Oct-22Word PDF
Benefit List Update: New Addition: Synjardy and Jardiance 1972019-Oct-22Word PDF
New Addition: Sandoz Levetiracetam 1000 MG TABLET1952019-Oct-18Word PDF
Benefit List Update: New Addition_Ocrevus 300mg1912019-Oct-10Word PDF
Benefit list updates_New addition_ALECENSARO 150MG CAPSULES1902019-Oct-08Word PDF
Benefit List Update_ New Addition: VENCLEXTA 10MG, 50MG, 100MG TABLETS, AND STARTER PACK1702019-Sep-13Word PDF
Benefit List Update_New Add: LYNPARZA 100, 150 MG & New Add to existing Cat: JAKAVI 5,10,15, 20 MG1632019-Sep-03Word PDF
Benefit List Update_ New Addition: HEMANGIOL 3.75 MG/ML SOLUTION1582019-Aug-27Word PDF
Benefit List Update_Humira for Hidradenitis suppurative (HS)1572019-Aug-27Word PDF
Benefit List Update_COPD Criteria Update1562019-Aug-27Word PDF
Benefit List Update_New Addition_OCALIVA 5MG, 10MG TABLETS1492019-Aug-16Word PDF
Benefit List Update_New Addition to Existing Category: Afinitor 2.5mg, 5mg, and 10mg tablets1422019-Jul-29Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Short Stock - Dorzolamide Timolol 20mg/5mg/ml 72020-Jan-13Word PDF
Short Stock -Timolol Maleate 0.5 percent Ophth Solution62020-Jan-10Word PDF
Short Stock - Losartan Potassium 100mg52020-Jan-09Word PDF
Short Stock - Candesartan 32mg42020-Jan-08Word PDF
Short Stock - Verapamil SR 120 mg12020-Jan-02Word PDF
Short Stock - Candesartan Cilexetil/Hydrochlorothiazide 32mg/25mg2422019-Dec-30Word PDF
Update: Short-Stock - Carbamazepine 200 mg2412019-Dec-27Word PDF
Update: Short-Stock - Olmesartan/Hydrochlorothiazide 40mg/12.5mg 2392019-Dec-27Word PDF
Short Stock - Butalbital/Codeine Phosphate/Acetylasalicylic Acid/Caffeine C1/22382019-Dec-23Word PDF
Short-Stock - Butalbital/Codeine Phosphate/Acetylasalicylic Acid/Caffeine C1/42332019-Dec-18Word PDF
Short Stock - Repaglinide 1 mg 2322019-Dec-13Word PDF
Update: Short-Stock - Buprenorphine/Naloxone 2mg/0.5mg 2302019-Dec-06Word PDF
Short Stock - Losartan Potassium Hydrochlorothiazide 100mg/25mg 2272019-Nov-29Word PDF
Update: Short Stock - Hydrocortisone Acetate 10mg/Pramoxine HCL 20mg/Zinc Sulfate 10mg2262019-Nov-29Word PDF
Short-Stock - Buprenorphine/Naloxone 2mg/0.5mg 2192019-Nov-15Word PDF
Update: Short-Stock - Buprenorphine/Naloxone 8mg/2mg2172019-Nov-12Word PDF
Update: Short-Stock - Quinapril/Hydrochlorothiazide 20mg/12.5mg 2162019-Nov-12Word PDF
Short Stock - Hydrocortisone Acetate 10mg/Pramoxine HCL 20mg/Zinc Sulfate 10mg2152019-Nov-06Word PDF
Short Stock - Carbamazepine 200 mg2142019-Nov-04Word PDF
Update: Short Stock - Olmesartan/Hydrochlorothiazide 40mg/25mg2132019-Nov-04Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Online version of NIDPF Vol. 81 effective January 1, 20202432019-Dec-31Word PDF
NLPDP Benefit Status Effective January 1, 20202372019-Dec-20Word PDF
NIDPF Vol. 81 Supplement Effective January 1, 2020- Refer to Bulletin #237 for Benefit Status2362019-Dec-20Word PDF
Online version of NIDPF Vol. 81 effective December 1, 20192252019-Nov-29Word PDF
NLPDP Benefit Status Effective December 1, 20192232019-Nov-27Word PDF
NIDPF Vol. 81 Supplement Effective December 1, 2019 - Refer to Bulletin #223 for Benefit Status2222019-Nov-27Word PDF
Teva-Fulvestrant Pricing Error2202019-Nov-20Word PDF
Change in Billing Format for Imiquimod 5 percent Cream2182019-Nov-13Word PDF
Online version of NIDPF Vol. 81 effective November 1, 20192092019-Nov-01Word PDF
NLPDP Benefit Status Effective November 1, 20192042019-Oct-29Word PDF
NIDPF Vol. 81 Supplement Effective November 1, 2019 - Refer to Bulletin #204 for Benefit Status2032019-Oct-29Word PDF
Online version of NIDPF Vol. 81 effective October 28, 20192022019-Oct-28Word PDF
NIDPF Vol. 81 Supplement Effective October 28, 2019 - Refer to Bulletin #198 for Benefit Status2012019-Oct-28Word PDF
UPDATE TO BULLETIN #193 Regarding Coverage of Teva-Varenicline Starter Kit 0.5 mg/1 mg1992019-Oct-23Word PDF
Error in Coverage Status for Teva-Varenicline Starter Kit 0.5 mg/1 mg tablets DIN 024267811932019-Oct-17Word PDF
Online version of NIDPF Vol. 81 effective October 1, 20191832019-Oct-01Word PDF
NLPDP Benefit Status Effective October 1, 20191762019-Sep-25Word PDF
NIDPF Vol. 81 Supplement Effective October 1, 2019 - Refer to Bulletin #176 for Benefit Status1752019-Sep-25Word PDF
Delisting from NIDPF and NLPDP Benefit List Effective October 1, 20191692019-Sep-13Word PDF
Online version of NIDPF Vol. 80 effective September 1, 20191622019-Aug-30Word PDF
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Document Name: Date Range: To


Document NameDateView
2020 Payment Schedule2019-Dec-09Word PDF
2019 Payment Schedule2018-Dec-20Word PDF
NLPDP Application for Participation2018-Jun-18Word PDF
 
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