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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Updated: Bulletin #50 posted on March 29, 2018642018-Apr-19Word PDF
Short-Stock - Clonazepam 0.5 mg632018-Apr-17Word PDF
Metoject Update on Supply622018-Apr-16Word PDF
Short-Stock - Desmopressin 0.2 mg612018-Apr-13Word PDF
Update: Short-Stock - Alendronic Acid/Vitamin D3 70 mg/5600IU602018-Apr-13Word PDF
New Din Addition: Metoject592018-Apr-12Word PDF
OPEN benefit Sumatriptan 50mg, 100mg & Almotritan 12.5mg582018-Apr-11Word PDF
Delist Sumatriptan 25mg & Almotritan 6.25mg572018-Apr-11Word PDF
Benefit list updates_New additions_Erelzi 562018-Apr-09Word PDF
Benefit List Update: Delist552018-Apr-06Word PDF
Short-Stock - Acebutolol Hydrochloride 200 mg542018-Apr-05Word PDF
Benefit list update: Special Authorization: Uptravi532018-Apr-03Word PDF
Benefit list update: Special Authorization: Taltz522018-Apr-03Word PDF
Benefit list update: Special Authorization: Updated Criteria_Prolia512018-Apr-03Word PDF
Benefit List Update: Delist502018-Mar-29Word PDF
Update: Short-Stock - Ipratropium Bromide 0.03 Percent492018-Mar-29Word PDF
Online version of the NIDPF Vol. 78 effective April 1, 2018482018-Mar-29Word PDF
Short-Stock - Ipratropium Bromide 0.03 Percent472018-Mar-26Word PDF
NLPDP Benefit Status Effective April 1, 2018462018-Mar-26Word PDF
NIDPF Vol. 78 Supplement Effective April 1, 2018 - Refer to Bulletin #46 for Benefit Status452018-Mar-26Word PDF
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Document Name: Date Range: To

Document NameDateView
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
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
 
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Document Name: Date Range: To

Document NameDateView
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
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
 
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Updated: Bulletin #50 posted on March 29, 2018642018-Apr-19Word PDF
Metoject Update on Supply622018-Apr-16Word PDF
New Din Addition: Metoject592018-Apr-12Word PDF
OPEN benefit Sumatriptan 50mg, 100mg & Almotritan 12.5mg582018-Apr-11Word PDF
Delist Sumatriptan 25mg & Almotritan 6.25mg572018-Apr-11Word PDF
Benefit list updates_New additions_Erelzi 562018-Apr-09Word PDF
Benefit list update: Special Authorization: Uptravi532018-Apr-03Word PDF
Benefit list update: Special Authorization: Taltz522018-Apr-03Word PDF
Benefit list update: Special Authorization: Updated Criteria_Prolia512018-Apr-03Word PDF
Benefit List Update: Delist502018-Mar-29Word PDF
Updated H. Pylori Eradication Therapy442018-Mar-26Word PDF
Benefit List Update: Delist HP-PAC KIT432018-Mar-26Word PDF
New Din Addition: SODIUM PHENLUBUTYRATE (PHEBURANE 483 MG/G GRANULES)412018-Mar-14Word PDF
New Din Addition: COSENTYX (SECUKINUMAB)402018-Mar-14Word PDF
New Din Addition: Brenzys (etanercept)392018-Mar-14Word PDF
Special Authorization: New addition to existing category: CIMZIA (certolizumab)22018-Jan-10Word PDF
New Benefit Additions_Neupro2062017-Dec-14Word PDF
New Benefit Additions: Basaglar_OPEN benefit1832017-Oct-23Word PDF
Criteria Update: Levemir 1822017-Oct-23Word PDF
Updated Version: New Benefit Addition: Grastofil1782017-Oct-17Word PDF
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Short-Stock - Clonazepam 0.5 mg632018-Apr-17Word PDF
Short-Stock - Desmopressin 0.2 mg612018-Apr-13Word PDF
Update: Short-Stock - Alendronic Acid/Vitamin D3 70 mg/5600IU602018-Apr-13Word PDF
Short-Stock - Acebutolol Hydrochloride 200 mg542018-Apr-05Word PDF
Update: Short-Stock - Ipratropium Bromide 0.03 Percent492018-Mar-29Word PDF
Short-Stock - Ipratropium Bromide 0.03 Percent472018-Mar-26Word PDF
Update: Short-Stock - Fluvoxamine Maleate 50 mg422018-Mar-16Word PDF
Update: Short-Stocks - Nabilone 0.5mg and Nabilone 1mg372018-Mar-09Word PDF
Update: Short-Stock - Fluvoxamine Maleate 100 mg362018-Mar-09Word PDF
Short-Stocks - Nabilone 0.5mg and Nabilone 1mg352018-Mar-08Word PDF
Short-Stock - Fluvoxamine Maleate 50 mg 332018-Mar-01Word PDF
Update: Short-Stock - Fenofibrate 160mg312018-Feb-23Word PDF
Update: Short-Stock - Propafenone Hydrochloride 150 mg282018-Feb-21Word PDF
Update: Short-Stock - Tricira Lo (28 day) Tablet242018-Feb-16Word PDF
Update: Short-Stock - Tricira Lo (21 day) Tablet232018-Feb-16Word PDF
Short-Stock - Alendronic Acid/Vitamin D3 70 mg/5600IU222018-Feb-14Word PDF
Short-Stock - Doxylamine / Pyridoxine 10mg/10mg212018-Feb-13Word PDF
Update: Short-Stock - Clonazepam 0.5 mg202018-Feb-12Word PDF
Update: Short-Stock - Risperidone 1mg/ml192018-Feb-09Word PDF
Short-Stock - Risperidone 1mg/ml182018-Feb-07Word PDF
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Online version of the NIDPF Vol. 78 effective April 1, 2018482018-Mar-29Word PDF
NLPDP Benefit Status Effective April 1, 2018462018-Mar-26Word PDF
NIDPF Vol. 78 Supplement Effective April 1, 2018 - Refer to Bulletin #46 for Benefit Status452018-Mar-26Word PDF
Online version of the NIDPF Vol. 77 effective March 1, 2018342018-Mar-01Word PDF
NLPDP Benefit Status Effective March 1, 2018302018-Feb-21Word PDF
NIDPF Vol. 77 Supplement Effective March 1, 2018 - Refer to Bulletin #30 for Benefit Status292018-Feb-21Word PDF
Online version of the NIDPF Vol. 77 effective February 1, 2018132018-Feb-01Word PDF
NLPDP Benefit Status Effective February 1, 201882018-Jan-22Word PDF
NIDPF Vol. 77 Supplement Effective February 1, 2018 - Refer to Bulletin #8 for Benefit Status72018-Jan-22Word PDF
Online version of the NIDPF Vol. 77 effective January 1, 20182122017-Dec-29Word PDF
NLPDP Benefit Status Effective January 1, 20182102017-Dec-21Word PDF
NIDPF Vol. 77 Supplement Effective January 1, 2018 - Refer to Bulletin #210 for Benefit Status2092017-Dec-21Word PDF
Online version of the NIDPF Vol. 77 effective December 1, 20172022017-Dec-01Word PDF
NLPDP Benefit Status Effective December 1, 20171982017-Nov-27Word PDF
NIDPF Vol. 77 Supplement Effective December 1, 2017 - Refer to Bulletin #198 for Benefit Status1972017-Nov-27Word PDF
Revision to Bulletin #185 (NIDPF Additions - November 1, 2017)1912017-Nov-08Word PDF
Online version of the NIDPF Vol. 77 effective November 1, 20171902017-Nov-01Word PDF
NLPDP Benefit Status Effective November 1, 20171862017-Oct-26Word PDF
NIDPF Vol. 77 Supplement Effective November 1, 2017 - Refer to Bulletin #186 for Benefit Status1852017-Oct-26Word PDF
Online version of the NIDPF Vol. 77 effective October 1, 20171742017-Sep-29Word PDF
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Document Name: Date Range: To

Document NameDateView
2018 Payment Schedule2017-Dec-12Word PDF
2017 Payment Schedule2016-Dec-19Word PDF
NLPDP Application for Participation2016-Dec-06Word PDF
 
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