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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Online version of NIDPF Vol. 83 effective December 1, 20201762020-Dec-01Word PDF
Ciprofloxacin Change from Open Benefit to Special Authorization February 1, 20211752020-Nov-30Word PDF
delisting - pms-Progesterone 100mg Capsules1742020-Nov-19Word PDF
NLPDP Benefit Status Effective December 1, 20201732020-Nov-19Word PDF
NIDPF Vol. 83 Supplement Effective December 1, 2020 - Refer to Bulletin #173 for Benefit Status1722020-Nov-19Word PDF
Update: Short-Stock: Dipyridamole / Acetylsalicylic Acid 200mg / 25mg1712020-Nov-19Word PDF
Benefit list update: Special Authorization MICRONIZED PROGESTERONE 100mg capsules1702020-Nov-19Word PDF
Benefit List Update: New Addition: Cresemba1692020-Nov-13Word PDF
Benefit List Update: New Addition: Mezera Rectal Foam 1682020-Nov-12Word PDF
Revised Criteria Update: Maviret1672020-Nov-09Word PDF
Benefit List Update_Criteria Update_Vyvanse1662020-Nov-04Word PDF
Online version of NIDPF Vol. 83 effective November 1, 20201652020-Oct-30Word PDF
Delisting - Neupro 1mg, 3mg 1642020-Oct-27Word PDF
NLPDP Benefit Status Effective November 1, 20201632020-Oct-27Word PDF
NIDPF Vol. 83 Supplement Effective November 1, 2020 - Refer to Bulletin #163 for Benefit Status1622020-Oct-26Word PDF
Short-Stock - Irbesartan 300 mg1612020-Oct-23Word PDF
New Addition to an existing category: Rituximab Biosimilar: RIXIMYO1602020-Oct-19Word PDF
Reimbursement of Public Flu Vaccinations under NLPDP for 2020 - 2021 Flu Season1592020-Oct-15Word PDF
Delisting - pms-Repaglinide1582020-Oct-14Word PDF
Short-Stock: Eletriptan Hydrobromide 40mg1572020-Oct-13Word PDF
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Document Name: Date Range: To


Document NameDateView
Coverage Status Table - November 20202020-Nov-19 PDF
Coverage Status Table - October 20202020-Oct-16 PDF
Coverage Status Table - September 20202020-Sep-22 PDF
Coverage Status Table - August 20202020-Aug-24 PDF
Coverage Status Table - July 20202020-Jul-22 PDF
Coverage Status Table - June 20202020-Jun-25 PDF
Coverage Status Table - May 20202020-May-22 PDF
Coverage Status Table - April 20202020-Apr-24 PDF
Coverage Status Table - March 20202020-Apr-02 PDF
Coverage Status Table - February 20202020-Feb-14 PDF
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
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Document Name: Date Range: To


Document NameDateView
Diabetic Listing - May, 2020(Refer to Bulletin #77 posted on May 1, 2020)2020-May-04Word PDF
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
 
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Benefit List Update: New Addition: Cresemba1692020-Nov-13Word PDF
Benefit List Update: New Addition: Mezera Rectal Foam 1682020-Nov-12Word PDF
Revised Criteria Update: Maviret1672020-Nov-09Word PDF
Benefit List Update_Criteria Update_Vyvanse1662020-Nov-04Word PDF
Delisting - Neupro 1mg, 3mg 1642020-Oct-27Word PDF
New Addition to an existing category: Rituximab Biosimilar: RIXIMYO1602020-Oct-19Word PDF
Removal from market: Fibristal 5mg1552020-Oct-06Word PDF
Benefit List Update: New Addition_Open Benefit: Mycophenolate Mofetil1522020-Sep-30Word PDF
New addition to an existing category: Special Authorization: Fragmin Syringe1512020-Sep-25Word PDF
Reviewed and Rejected: Foquest Capsules1502020-Sep-25Word PDF
Benefit List Update: New addition Open Benefit: Zeulide depot 3.75MG, 22.5MG1492020-Sep-25Word PDF
New Addition to an existing category: Special Authorization: Vyvanse Chewable tablets 1462020-Sep-23Word PDF
Benefit List Update_Open Benefit_Concerta and Generics1412020-Sep-16Word PDF
Benefit List Update_Criteria Update_Biphentin and Vyvanse1402020-Sep-16Word PDF
Benefit List Update: New Addition_Special Authorization: SKYRIZI 75 mg/0.83mL1392020-Sep-16Word PDF
Benefit List Update: New Addition_Special Authorization: VELPHORO 500 MG CHEWABLE TABLET1382020-Sep-14Word PDF
Benefit List Update: New Addition_Special Authorization: Delstrigo and Pifeltro1352020-Sep-11Word PDF
Benefit List Update: New Addition to an existing category_Special Authorization: JANUMET XR1342020-Sep-11Word PDF
Benefit List Update: New Addition_Special Authorization: Ziextenzo 6mg/0.6ml1332020-Sep-11Word PDF
Benefit List Update: New indications_Special Authorization: KALYDECO 150mg tablets1322020-Sep-10Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Update: Short-Stock: Dipyridamole / Acetylsalicylic Acid 200mg / 25mg1712020-Nov-19Word PDF
Short-Stock - Irbesartan 300 mg1612020-Oct-23Word PDF
Short-Stock: Eletriptan Hydrobromide 40mg 1572020-Oct-13Word PDF
Short-Stock - Famciclovir 500mg1542020-Oct-01Word PDF
Update: Short-Stock - Anagrelide Hydrochloride 0.5 mg1482020-Sep-25Word PDF
Short-Stock- Irbesartan 150mg1472020-Sep-24Word PDF
Update: Short-Stock - Carbamazepine 100mg/5ml1432020-Sep-22Word PDF
Short-Stock - Carbamazepine 100mg/5ml1422020-Sep-21Word PDF
Short Stock - Benzoyl Peroxide, Clindamycin 5 percent / 1 percent1362020-Sep-14Word PDF
Update: Short-Stock - Quinapril/Hydrochlorothiazide 20mg/12.5mg1292020-Sep-04Word PDF
Short Stock - Ramipril-HCTZ 5/12.5mg1232020-Aug-31Word PDF
Update: Short Stock -Tranexamic Acid 500mg1202020-Aug-14Word PDF
Short Stock - Tranexamic Acid 500mg 1172020-Aug-06Word PDF
Update: Short-Stock-Olmesartan 40mg1142020-Jul-30Word PDF
Short-Stock - Anagrelide Hydrochloride 0.5 mg1132020-Jul-24Word PDF
Short-Stock - Quinapril/Hydrochlorothiazide 20mg/12.5mg1092020-Jul-17Word PDF
Update: Short-Stock - Nabilone 1mg1062020-Jul-09Word PDF
Short-Stock - Nabilone 1mg 1052020-Jul-07Word PDF
Update: Short-Stock - Verapamil SR 240 mg1032020-Jul-03Word PDF
Update: Short-Stock - Verapamil SR 180 mg1002020-Jun-29Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Online version of NIDPF Vol. 83 effective December 1, 20201762020-Dec-01Word PDF
delisting - pms-Progesterone 100mg Capsules1742020-Nov-19Word PDF
NLPDP Benefit Status Effective December 1, 20201732020-Nov-19Word PDF
NIDPF Vol. 83 Supplement Effective December 1, 2020 - Refer to Bulletin #173 for Benefit Status1722020-Nov-19Word PDF
Benefit list update: Special Authorization MICRONIZED PROGESTERONE 100mg capsules1702020-Nov-19Word PDF
Online version of NIDPF Vol. 83 effective November 1, 20201652020-Oct-30Word PDF
NLPDP Benefit Status Effective November 1, 20201632020-Oct-27Word PDF
NIDPF Vol. 83 Supplement Effective November 1, 2020 - Refer to Bulletin #163 for Benefit Status1622020-Oct-26Word PDF
Delisting - pms-Repaglinide1582020-Oct-14Word PDF
Online version of NIDPF Vol. 83 effective October 1, 20201532020-Oct-01Word PDF
NLPDP Benefit Status Effective October 1, 20201452020-Sep-22Word PDF
NIDPF Vol. 83 Supplement Effective October 1, 2020 - Refer to Bulletin #145 for Benefit Status1442020-Sep-22Word PDF
Delisting from NIDPF and NLPDP Benefit List Effective October 1, 20201372020-Sep-14Word PDF
Online version of NIDPF Vol. 82 effective September 1, 20201252020-Sep-02Word PDF
NLPDP Benefit Status Effective September 1, 20201222020-Aug-26Word PDF
NIDPF Vol. 82 Supplement Effective September 1, 2020 - Refer to Bulletin #122 for Benefit Status1212020-Aug-26Word PDF
Online version of NIDPF Vol. 82 effective August 1, 20201162020-Jul-31Word PDF
NLPDP Benefit Status Effective August 1, 20201122020-Jul-24Word PDF
NIDPF Vol. 82 Supplement Effective August 1, 2020 - Refer to Bulletin #112 for Benefit Status1112020-Jul-24Word PDF
Online version of NIDPF Vol. 82 effective July 1, 20201012020-Jun-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
 
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