Document Name: Bulletin #: Date Range: To
Document Name | Bulletin Number | Date | View |
Benefit List update: AMGEVITA 20 MG/0.4 ML PF SYR, 40mg/0.8ml PF SYR, 40mg/0.8ml PF AUTOINJECTOR | 64 | 2021-Apr-19 | Word PDF |
Benefit List Updates_New Addition_Lonsurf 15mg/6.14, 20mg/8.19mg | 61 | 2021-Apr-16 | Word PDF |
Benefit List update: AVSOLA 100 MG VIAL | 60 | 2021-Apr-16 | Word PDF |
Benefit List update: CYSTADROPS 3.8 mg/mL OPHTHALMIC SOLUTION | 59 | 2021-Apr-15 | Word PDF |
Benefit List Updates_New Addition_Erleada 60mg | 57 | 2021-Apr-05 | Word PDF |
Benefit Status Update_Criteria Update_ DORNASE ALFA (PULMOZYME 1 MG/ML AMPOULE) | 47 | 2021-Mar-18 | Word PDF |
Benefit List Update: Teva-Citalopram 10mg | 45 | 2021-Mar-18 | Word PDF |
Benefit list update: Special Authorization: TAKHZYRO 300MG/2ML PFS, 300 MG/2 ML Vial) | 43 | 2021-Mar-18 | Word PDF |
Benefit list update: Special Authorization: RADICAVA 30MG/100ML INTRAVENOUS SOLUTION | 41 | 2021-Mar-02 | Word PDF |
Benefit list update: Special Authorization: ALLERJECT 0.15 mg/0.15 mL, 0.3 mg/0.3 mL | 40 | 2021-Mar-01 | Word PDF |
Benefit List Update: New Additions_Special Authorization: FASENRA 30MG/ML AUTOINJECTOR | 34 | 2021-Feb-25 | Word PDF |
Benefit List Update: New Additions_Special Authorization: FULPHILA 6 MG/0.6 ML SYRINGE | 33 | 2021-Feb-25 | Word PDF |
Benefit list updates_New additions to Existing Category_STIVARGA 40MG tablets | 32 | 2021-Feb-24 | Word PDF |
Benefit List Update: New Additions: Duodopa intestinal gel cassette | 23 | 2021-Jan-28 | Word PDF |
Benefit List Update_Criteria Update_Afinitor, Nexavar, Sutent, and Votrient | 20 | 2021-Jan-22 | Word PDF |
Benefit list update_New additions to an existing category_ EMERADE 0.3mg & 0.5mg | 19 | 2021-Jan-20 | Word PDF |
Benefit list updates_New additions_Special Authorization_Movapo 30mg 3ml Pen | 18 | 2021-Jan-20 | Word PDF |
Benefit List Updates_New Addition_Cabometyx 20mg, 40mg, 60mg | 12 | 2021-Jan-18 | Word PDF |
Benefit List Update_New Addition_Open Benefit: Xaltral and Generics | 187 | 2020-Dec-31 | Word PDF |
Benefit List Update: New Addition_ Special Authorization_MAVENCLAD 10mg tablets | 184 | 2020-Dec-22 | Word PDF |
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Document Name: Bulletin #: Date Range: To
Document Name | Bulletin Number | Date | View |
NIDPF Delisting - PMS-CLONAZEPAM 1 MG TABLET | 63 | 2021-Apr-16 | Word PDF |
NIDPF Delisting - Proctodan-HC 10mg-20mg-10mg Suppository | 62 | 2021-Apr-16 | Word PDF |
Online version of NIDPF Vol. 84 effective April 1, 2021 | 56 | 2021-Apr-01 | Word PDF |
NLPDP Benefit Status Effective April 1, 2021 | 52 | 2021-Mar-25 | Word PDF |
NIDPF Vol. 84 Supplement Effective April 1, 2021 - Refer to Bulletin #52 for Benefit Status | 51 | 2021-Mar-25 | Word PDF |
Online version of NIDPF Vol. 83 effective March 1, 2021 | 39 | 2021-Mar-01 | Word PDF |
NLPDP Benefit Status Effective March 1, 2021 | 36 | 2021-Feb-26 | Word PDF |
NIDPF Vol. 83 Supplement Effective March 1, 2021 - Refer to Bulletin #36 for Benefit Status | 35 | 2021-Feb-26 | Word PDF |
Online version of NIDPF Vol. 83 effective February 1, 2021 | 25 | 2021-Feb-01 | Word PDF |
NLPDP Benefit Status Effective February 1, 2021 | 22 | 2021-Jan-25 | Word PDF |
NIDPF Vol. 83 Supplement Effective February 1, 2021 - Refer to Bulletin #22 for Benefit Status | 21 | 2021-Jan-25 | Word PDF |
NIDPF Delisting | 8 | 2021-Jan-12 | Word PDF |
Online version of NIDPF Vol. 83 effective January 1, 2021 | 189 | 2020-Dec-31 | Word PDF |
NLPDP Benefit Status Effective January 1, 2021 | 183 | 2020-Dec-21 | Word PDF |
NIDPF Vol. 83 Supplement Effective January 1, 2021 - Refer to Bulletin #183 for Benefit Status | 182 | 2020-Dec-21 | Word PDF |
Online version of NIDPF Vol. 83 effective December 1, 2020 | 176 | 2020-Dec-01 | Word PDF |
delisting - pms-Progesterone 100mg Capsules | 174 | 2020-Nov-19 | Word PDF |
NLPDP Benefit Status Effective December 1, 2020 | 173 | 2020-Nov-19 | Word PDF |
NIDPF Vol. 83 Supplement Effective December 1, 2020 - Refer to Bulletin #173 for Benefit Status | 172 | 2020-Nov-19 | Word PDF |
Benefit list update: Special Authorization MICRONIZED PROGESTERONE 100mg capsules | 170 | 2020-Nov-19 | Word PDF |
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