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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Short-Stock - Lorazepam Sublingual 1mg1342017-Jul-25Word PDF
Short-Stock - Drospirenone/Ethinyl Estradiol 3mg/0.03mg1332017-Jul-24Word PDF
Update: Short-Stock - Valproic Acid 250 mg/5 mL 1322017-Jul-21Word PDF
Update: Short-Stock - Oxycodone Hydrochloride 5mg1312017-Jul-21Word PDF
Short Stock - Ramipril-HCTZ 10/12.5 mg1302017-Jul-21Word PDF
NLPDP Benefit Status Effective August 1, 20171292017-Jul-20Word PDF
NIDPF Vol. 76 Supplement Effective August 1, 2017 - Refer to Bulletin #129 for Benefit Status1282017-Jul-20Word PDF
Benefit List Update: New Drug Therapy_Xolair CIU1272017-Jul-19Word PDF
Benefit List Update: Special Authorization Criteria_Inlyta (axitinib)1262017-Jul-17Word PDF
New Drug Therapy - COTELLIC ZELBORAF Effective June 1, 20171252017-Jul-17Word PDF
Update: Short Stock - Oxycodone Hydrochloride 20mg 1242017-Jul-14Word PDF
Update: Short-Stock - Buprenorphine/Naloxone 8mg/2mg1232017-Jul-14Word PDF
Update: Short-Stock - Tobramycin 0.3 per cent Ophthalmic1222017-Jul-14Word PDF
Short-Stock - Drospirenone/Ethinyl Estradiol 3mg/.03mg1212017-Jul-12Word PDF
Short-Stock - Valproic Acid 250 mg/5 mL 1202017-Jul-06Word PDF
Short-Stock - Metronidazole 500 mg1192017-Jul-04Word PDF
Update: Short-Stock - Isosorbide-5-Mononitrate 60 mg1182017-Jun-30Word PDF
Online version of the NIDPF Vol. 76 effective July 1, 20171172017-Jun-30Word PDF
Short-Stock - Oxycodone Hydrochloride 5mg1162017-Jun-30Word PDF
Cholestyramine Billing Procedure Change1152017-Jun-28Word PDF
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Document Name: Date Range: To

Document NameDateView
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
Coverage Status Table - March 1, 20162016-Mar-08 PDF
Coverage Status Table - February 1, 20162016-Feb-18 PDF
Coverage Status Table - January 1, 20162016-Jan-15 PDF
(Revised) Coverage Status Table - December 1, 20152015-Dec-15 PDF
Coverage Status Table - December 1, 20152015-Dec-11 PDF
Coverage Status Table - November 1, 20152015-Nov-18 PDF
Coverage Status Table - October 1, 20152015-Oct-14 PDF
Coverage Status Table - September 1, 20152015-Sep-11 PDF
 
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Document Name: Date Range: To

Document NameDateView
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
Diabetic Listing - March 3, 2016 (Refer to Bulletin #40 posted on March 3, 2016)2016-Mar-03Word PDF
Diabetic Listing - January 20, 2016 (Refer to Bulletin #10 posted on January 20, 2016)2016-Jan-20Word PDF
Diabetic Listing - January 8, 2016 (Refer to Bulletin #02 posted on January 8, 2016)2016-Jan-08Word PDF
Diabetic Listing - November 12, 20152015-Nov-12Word PDF
Diabetic Listing - November, 20152015-Nov-03Word PDF
 
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Benefit List Update: New Drug Therapy_Xolair CIU1272017-Jul-19Word PDF
Benefit List Update: Special Authorization Criteria_Inlyta (axitinib)1262017-Jul-17Word PDF
New Drug Therapy - COTELLIC ZELBORAF Effective June 1, 20171252017-Jul-17Word PDF
Benefit List Update: New Additions_Ferriprox1072017-Jun-20Word PDF
Benefit list update: Additions to existing categories citalopram 10mg-OPEN benefit1022017-Jun-15Word PDF
Benefit list additions: OPEN benefit_Mar-Citalopram 10mg & Mar-Amlodipine 2.5mg942017-May-29Word PDF
Benefit List Updates_New addition_Plegridy 922017-May-29Word PDF
Benefit list updates_New additions to existing categories_Eylea_BRVO882017-May-15Word PDF
UPDATE: Benefit list updates_New additions_Entyvio 300mg IV872017-May-11Word PDF
Benefit List Update: New addition to existing category: Golimumab (SIMPONI) for ulcerative colitis812017-Apr-28Word PDF
Benefit List Update: New Addition_OPEN Benefit: ARNUITY ELLIPTA 772017-Apr-17Word PDF
Benefit Status Update: Reviewed and Not Recommended: Imbruvica (WM), Lynparza (OC) and Zydelig (FL)742017-Apr-10Word PDF
Benefit List Update: Special AuthorizationTOFACITINIB (XELJANZ 5 MG TABLET)652017-Mar-29Word PDF
Benefit List Update: Special Authorization Criteria_ADHD medications552017-Mar-07Word PDF
New Drug Therapy: Tafinlar Mekinist Effective February 1, 2017522017-Mar-01Word PDF
Benefit Status Update: OPEN benefit_CADUET422017-Feb-13Word PDF
Benefit list Update: OPEN Benefit_Asmanex Twisthaler 100 MCG392017-Feb-03Word PDF
Benefit List Update: New addition_ DAPAGLIFLOZIN (FORXIGA 5mg, 10mg tablet)382017-Feb-02Word PDF
Benefit List Update: New addition_NINTEDANIB (OFEV 100mg, 150mg capsule)372017-Feb-02Word PDF
Special Auth-criteria update: Cholinesterase Inhibitors(ChEI): donepezil, rivastigmine & galantamine352017-Feb-01Word PDF
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Short-Stock - Lorazepam Sublingual 1mg1342017-Jul-25Word PDF
Short-Stock - Drospirenone/Ethinyl Estradiol 3mg/0.03mg1332017-Jul-24Word PDF
Update: Short-Stock - Valproic Acid 250 mg/5 mL 1322017-Jul-21Word PDF
Update: Short-Stock - Oxycodone Hydrochloride 5mg1312017-Jul-21Word PDF
Short Stock - Ramipril-HCTZ 10/12.5 mg1302017-Jul-21Word PDF
Update: Short Stock - Oxycodone Hydrochloride 20mg 1242017-Jul-14Word PDF
Update: Short-Stock - Buprenorphine/Naloxone 8mg/2mg1232017-Jul-14Word PDF
Update: Short-Stock - Tobramycin 0.3 per cent Ophthalmic1222017-Jul-14Word PDF
Short-Stock - Drospirenone/Ethinyl Estradiol 3mg/.03mg1212017-Jul-12Word PDF
Short-Stock - Valproic Acid 250 mg/5 mL 1202017-Jul-06Word PDF
Short-Stock - Metronidazole 500 mg1192017-Jul-04Word PDF
Update: Short-Stock - Isosorbide-5-Mononitrate 60 mg1182017-Jun-30Word PDF
Short-Stock - Oxycodone Hydrochloride 5mg1162017-Jun-30Word PDF
Short-Stock - Tobramycin 0.3 per cent Ophthalmic1142017-Jun-28Word PDF
Update: Short-Stock - Oxycodone Hydrochloride 10mg1132017-Jun-26Word PDF
Short Stock - Oxycodone Hydrochloride 20mg 1122017-Jun-26Word PDF
Update: Short Stock - Oxycodone Hydrochloride 20mg 1092017-Jun-23Word PDF
Short-Stock - Isosorbide-5-Mononitrate 60 mg1082017-Jun-23Word PDF
Update: Short-Stock - Ramipril-HCTZ 10/25 mg1052017-Jun-16Word PDF
Update: Short Stock - Ramipril-HCTZ 10/12.5 mg1042017-Jun-16Word PDF
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
NLPDP Benefit Status Effective August 1, 20171292017-Jul-20Word PDF
NIDPF Vol. 76 Supplement Effective August 1, 2017 - Refer to Bulletin #129 for Benefit Status1282017-Jul-20Word PDF
Online version of the NIDPF Vol. 76 effective July 1, 20171172017-Jun-30Word PDF
NLPDP Benefit Status Effective July 1, 20171112017-Jun-26Word PDF
NIDPF Vol. 76 Supplement Effective July 1, 2017 - Refer to Bulletin #111 for Benefit Status1102017-Jun-26Word PDF
Online version of NIDPF Vol. 76 Supplement effective June 1, 2017952017-Jun-02Word PDF
NLPDP Benefit Status Effective June 1, 2017902017-May-24Word PDF
NIDPF Vol. 76 Supplement Effective June 1, 2017 - Refer to Bulletin #90 for Benefit Status892017-May-24Word PDF
Online version of NIDPF Vol. 76 Supplement effective May 1, 2017832017-May-01Word PDF
NLPDP Benefit Status Effective May 1, 2017792017-Apr-20Word PDF
NIDPF Vol. 76 Supplement Effective May 1, 2017 - Refer to Bulletin #79 for Benefit Status782017-Apr-20Word PDF
Online version of NIDPF Vol. 76 Supplement effective April 1, 2017672017-Mar-30Word PDF
NLPDP Benefit Status Effective April 1, 2017622017-Mar-23Word PDF
NIDPF Vol. 76 Supplement Effective April 1, 2017 - Refer to Bulletin #62 for Benefit Status612017-Mar-23Word PDF
Online version of NIDPF Vol. 75 Supplement effective March 1, 2017502017-Mar-01Word PDF
Delisting from the NLPDP Benefit List492017-Feb-28Word PDF
NLPDP Benefit Status Effective March 1, 2017482017-Feb-27Word PDF
NIDPF Vol. 75 Supplement Effective March 1, 2017 - Refer to Bulletin #48 for Benefit Status472017-Feb-27Word PDF
Online version of NIDPF Vol. 75 Supplement effective February 1, 2017362017-Feb-01Word PDF
NLPDP Benefit Status Effective February 1, 2017252017-Jan-20Word PDF
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Document Name: Date Range: To

Document NameDateView
2017 Payment Schedule2016-Dec-19Word PDF
NLPDP Application for Participation2016-Dec-06Word PDF
2016 Payment Schedule2015-Dec-17Word PDF
 
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