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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Update: Short Stock: Carbamazepine 200 mg CR1652024-Oct-04Word PDF
Update: Short-Stock: Pyridostigmine 60mg1642024-Oct-04Word PDF
Short-Stock - Carbergoline 0.5 mg1632024-Oct-03Word PDF
Online version of NIDPF Vol. 91 effective October 1, 20241622024-Oct-01Word PDF
Benefit List Updates_New Indication_CABOMETYX Tablets1612024-Sep-27Word PDF
Important Notice to Pharmacies1602024-Sep-27Word PDF
Important Notice to Pharmacies1592024-Sep-27Word PDF
Limited Use Override Codes for Open Benefit Inhaled Corticosteroid Inhalers1582024-Sep-26Word PDF
Benefit List Update1572024-Sep-24Word PDF
Update - Short-Stock: Rabeprazole Sodium 10 mg1562024-Sep-23Word PDF
Benefit Status Effective October 1, 20241552024-Sep-20Word PDF
NIDPF Vol. 91 Supplement Effective October 1, 2024 - Refer to Bulletin #155 for Benefit Status1542024-Sep-20Word PDF
Benefit List Update1532024-Sep-20Word PDF
Short-Stock: Zolmitriptan 2.5 mg1522024-Sep-19Word PDF
Delisting from NIDPF and NLPDP Benefit List effective October 1, 20241512024-Sep-17Word PDF
Benefit List Update: New Addition1502024-Sep-13Word PDF
Benefit List Update1492024-Sep-12Word PDF
New Adjudication Rule: High Drug Cost Over $9,999.99 Claims1482024-Sep-11Word PDF
Short-Stock: Pyridostigmine 60mg1472024-Sep-11Word PDF
Important Notice to Pharmacies1462024-Sep-09Word PDF
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Document NameDateView
Coverage Status Table - September 20242024-Sep-23 PDF
Coverage Status Table - August 20242024-Aug-16 PDF
Coverage Status Table - July 20242024-Jul-04 PDF
Coverage Status Table - June 20242024-Jun-18 PDF
Coverage Status Table - May 20242024-May-15 PDF
Coverage Status Table - April 20242024-Apr-23 PDF
Coverage Status Table - March 20242024-Mar-12 PDF
Coverage Status Table - February 20242024-Feb-21 PDF
Coverage Status Table - January 20242024-Jan-24 PDF
Coverage Status Table - December 20232023-Dec-12 PDF
Coverage Status Table - November 20232023-Nov-20 PDF
Coverage Status Table - October 20232023-Oct-25 PDF
Coverage Status Table - September 20232023-Sep-08 PDF
Coverage Status Table - August 20232023-Aug-22 PDF
Coverage Status Table - July 20232023-Jul-19 PDF
Coverage Status Table - June 20232023-Jun-08 PDF
Coverage Status Table - May 20232023-May-18 PDF
Coverage Status Table - April 20232023-Apr-19 PDF
Coverage Status Table - March 20232023-Mar-15 PDF
Coverage Status Table - February 20232023-Feb-09 PDF
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Diabetic Listing - December 13, 20222022-Dec-14 PDF
 
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Benefit List Updates_New Indication_CABOMETYX Tablets1612024-Sep-27Word PDF
Benefit List Update: VYALEV 240MG/ML, 12MG/ML1452024-Sep-04Word PDF
Benefit List Update: RINVOQ 15mg, 30mg TABLET1442024-Sep-04Word PDF
Benefit List Update: MAVIRET 50-20 MG GRANULES1422024-Sep-04Word PDF
Benefit List Updates_New Indication_LONSURF Tablets1402024-Aug-30Word PDF
Benefit List Update: New Addition: VERQUVO tablets1362024-Aug-26Word PDF
Benefit List Update: Nucala for severe chronic rhinosinusitis1322024-Aug-20Word PDF
Benefit List Update_Criteria Update_Biphentin and Vyvanse1312024-Aug-08Word PDF
Benefit List Update: Jubbonti 60mg/ml prefilled syringe 1292024-Aug-05Word PDF
Benefit list updates_New addition_WYOST 1282024-Aug-05Word PDF
Benefit List Update1192024-Jun-27Word PDF
Benefit List Updates_New Strength_ERLEADA 240MG Tablets1102024-Jun-13Word PDF
Benefit List Update: New Addition: Octasa Delayed Release Tablets1002024-May-28Word PDF
Benefit List Updates_New Indication_NUBEQA Tablets992024-May-27Word PDF
Benefit List Update: - M-Methotrexate 2.5mg962024-May-24Word PDF
New addition to an existing category: YUFLYMA882024-May-14Word PDF
Benefit List Updates_New Indication_BRUKINSA Capsules872024-May-13Word PDF
Benefit List Update: New addition: Dupixent852024-May-10Word PDF
Benefit List Update: TRURAPI 100 UNIT/ML VIAL832024-May-10Word PDF
Benefit List Update: Skyrizi for Crohn's disease822024-May-07Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Update: Short Stock: Carbamazepine 200 mg CR1652024-Oct-04Word PDF
Update: Short-Stock: Pyridostigmine 60mg1642024-Oct-04Word PDF
Short-Stock - Carbergoline 0.5 mg1632024-Oct-03Word PDF
Update - Short-Stock: Rabeprazole Sodium 10 mg1562024-Sep-23Word PDF
Short-Stock: Zolmitriptan 2.5 mg1522024-Sep-19Word PDF
Short-Stock: Pyridostigmine 60mg1472024-Sep-11Word PDF
Short-Stock: Zolmitriptan ODT 2.5 mg1432024-Sep-04Word PDF
Short-Stock: Bupropion 300 mg1372024-Aug-27Word PDF
Short-Stock: Rabeprazole Sodium 10 mg1332024-Aug-22Word PDF
Short-Stock: Imiquimod 5 percent1302024-Aug-06Word PDF
Update - Short-Stock: Rabeprazole Sodium 10 mg 1262024-Jul-26Word PDF
Update - Short-Stock: Octreotide 30mg/Vial1182024-Jun-21Word PDF
Update - Short-Stock: Octreotide 20mg/Vial1172024-Jun-21Word PDF
Update-Short-Stock: Gliclazide MR 30mg1162024-Jun-21Word PDF
Update - Short-Stock: Bupropion 300mg1082024-Jun-11Word PDF
Short-Stock: Bupropion 300mg1062024-Jun-05Word PDF
Short-Stock: Gliclazide MR 30mg1012024-May-29Word PDF
Short-Stock: Budesonide 0.25mg/ml982024-May-27Word PDF
Update - Short-Stock: Timolol Maleate 0.5 Ophth Solution932024-May-17Word PDF
Update - Short-Stock: Colesevelam 625mg922024-May-17Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Online version of NIDPF Vol. 91 effective October 1, 20241622024-Oct-01Word PDF
Benefit Status Effective October 1, 20241552024-Sep-20Word PDF
NIDPF Vol. 91 Supplement Effective October 1, 2024 - Refer to Bulletin #155 for Benefit Status1542024-Sep-20Word PDF
Delisting from NIDPF and NLPDP Benefit List effective October 1, 20241512024-Sep-17Word PDF
Online version of NIDPF Vol. 90 effective September 1, 20241412024-Aug-30Word PDF
Benefit Status Effective September 1, 20241352024-Aug-22Word PDF
NIDPF Vol. 90 Supplement Effective September 1, 2024 - Refer to Bulletin #135 for Benefit Status1342024-Aug-22Word PDF
Online version of NIDPF Vol. 90 effective August 1, 20241272024-Jul-26Word PDF
NLPDP Benefit Status Effective August 1, 20241242024-Jul-22Word PDF
NIDPF Vol. 90 Supplement Effective August 1, 2024 - Refer to Bulletin #124 for Benefit Status1232024-Jul-22Word PDF
Online version of NIDPF Vol. 90 effective July 1, 20241212024-Jun-28Word PDF
Change in NLPDP Benefit Status: Delisting of Xigduo1202024-Jun-27Word PDF
NLPDP Benefit Status Effective July 1, 20241152024-Jun-20Word PDF
NIDPF Vol. 90 Supplement Effective July 1, 2024 - Refer to Bulletin #115 for Benefit Status1142024-Jun-20Word PDF
Online version of NIDPF Vol. 90 effective June 1, 20241052024-May-31Word PDF
NLPDP Benefit Status Effective June 1, 2024952024-May-23Word PDF
NIDPF Vol. 90 Supplement Effective June 1, 2024 - Refer to Bulletin #95 for Benefit Status942024-May-23Word PDF
NIDPF/NLPDP - Category Delisting effective June 1, 2024902024-May-15Word PDF
Benefit List Update: Delist892024-May-15Word PDF
Online version of NIDPF Vol. 90 effective May 1, 2024762024-May-01Word PDF
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2024 - Payment Schedule2023-Dec-05Word PDF
2023 - Payment Schedule2022-Dec-05Word PDF
 
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