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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Update: Short-Stock - Fenofibrate 160mg312018-Feb-23Word 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
Update: Short-Stock - Propafenone Hydrochloride 150 mg282018-Feb-21Word PDF
Tamiflu Special Authorizations272018-Feb-21Word PDF
Shortage of Oxybutynin262018-Feb-20Word PDF
NLPDP Benefit Status Effective February 19, 2018252018-Feb-19Word 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
Update: Short-Stock - Fluvoxamine Maleate 50 mg172018-Feb-02Word PDF
Update: Short-Stock - Naratriptan 2.5 mg162018-Feb-01Word PDF
Short-Stock - Clonazepam 0.5 mg152018-Feb-01Word PDF
Update: Buprenorphine/Naloxone 8mg/2mg142018-Feb-01Word PDF
Online version of the NIDPF Vol. 77 effective February 1, 2018132018-Feb-01Word PDF
Short-Stock - Propafenone Hydrochloride 150 mg122018-Jan-29Word PDF
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Document Name: Date Range: To

Document NameDateView
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
Coverage Status Table - March 1, 20162016-Mar-08 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
Diabetic Listing - March 3, 2016 (Refer to Bulletin #40 posted on March 3, 2016)2016-Mar-03Word PDF
 
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
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
Benefit List Update: New Addition: Xigduo1672017-Sep-25Word PDF
Benefit List Update: Hepatitis C therapies: Daklinza and Sunvepra1622017-Sep-18Word PDF
Benefit List Update: Hepatitis C therapies: Zepatier1602017-Sep-14Word PDF
Benefit List Update: Hepatitis C therapies: Holkira1592017-Sep-14Word PDF
Benefit List Update: Hepatitis C therapies: Epclusa, Havoni, Sovaldi 1582017-Sep-14Word PDF
Benefit List Update: New Addition: Genvoya 1552017-Sep-01Word PDF
Benefit List Update: New addition to an existing category: Humira for ulcerative colitis (UC)1372017-Aug-04Word 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
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
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
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
Update: Short-Stock - Fluvoxamine Maleate 50 mg172018-Feb-02Word PDF
Update: Short-Stock - Naratriptan 2.5 mg162018-Feb-01Word PDF
Short-Stock - Clonazepam 0.5 mg152018-Feb-01Word PDF
Update: Buprenorphine/Naloxone 8mg/2mg142018-Feb-01Word PDF
Short-Stock - Propafenone Hydrochloride 150 mg122018-Jan-29Word PDF
Update: Short-Stock-Valproic Acid 250 mg112018-Jan-26Word PDF
Short Stock - Tricira Lo (28 day) Tablet102018-Jan-25Word PDF
Short Stock - Tricira Lo (21 day) Tablet92018-Jan-25Word PDF
Update: Short-Stock - Methylphenidate HCL 20 mg62018-Jan-19Word PDF
Short Stock - Fenofibrate 160mg52018-Jan-19Word PDF
Update: Short-Stock - Desmopressin 0.1 mg12018-Jan-05Word PDF
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
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
NLPDP Benefit Status Effective October 1, 20171712017-Sep-25Word PDF
NIDPF Vol. 77 Supplement Effective October1, 2017 - Refer to Bulletin #171 for Benefit Status1702017-Sep-25Word PDF
Discontinued Products and Categories Delisted from NIDPF (Vol. 77) effective October 1, 20171692017-Sep-25Word PDF
Online version of the NIDPF Vol. 76 effective September 1, 20171562017-Sep-01Word 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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