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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Short Stock - Tranexamic Acid 500mg 1172020-Aug-06Word PDF
Online version of NIDPF Vol. 82 effective August 1, 20201162020-Jul-31Word PDF
Temporary Benefit Status of PTU 50 mg (Propylthiouracil 50 mg) tablets1152020-Jul-30Word PDF
Update: Short-Stock-Olmesartan 40mg1142020-Jul-30Word PDF
Short-Stock - Anagrelide Hydrochloride 0.5 mg1132020-Jul-24Word 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
COVID 30-Day Dispense Disabled1102020-Jul-24Word PDF
Short-Stock - Quinapril/Hydrochlorothiazide 20mg/12.5mg1092020-Jul-17Word PDF
Policy for Claiming Compounds1082020-Jul-15Word PDF
Coverage status of Timo-Stulln (Germany) 1072020-Jul-10Word PDF
Update: Short-Stock - Nabilone 1mg1062020-Jul-09Word PDF
Short-Stock - Nabilone 1mg 1052020-Jul-07Word PDF
Benefit List Update: New Additions_Special Authorization: Triamcinolone Hexacetonide 20mg/ml1042020-Jul-06Word PDF
Update: Short-Stock - Verapamil SR 240 mg1032020-Jul-03Word PDF
Benefit List Update: ATOMOXETINE (STRATTERA and generic brands) 1022020-Jun-30Word PDF
Online version of NIDPF Vol. 82 effective July 1, 20201012020-Jun-30Word PDF
Update: Short-Stock - Verapamil SR 180 mg1002020-Jun-29Word PDF
NLPDP Benefit Status Effective July 1, 2020992020-Jun-26Word PDF
NIDPF Vol. 82 Supplement Effective July 1, 2020 - Refer to Bulletin #99 for Benefit Status982020-Jun-26Word PDF
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Document Name: Date Range: To


Document NameDateView
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
Coverage Status Table - March, 20192019-Mar-25 PDF
Coverage Status Table - February, 20192019-Feb-08 PDF
Coverage Status Table - January 20192019-Jan-24 PDF
Coverage Status Table - December 20182018-Dec-21 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 Additions_Special Authorization: Triamcinolone Hexacetonide 20mg/ml1042020-Jul-06Word PDF
Benefit List Update: New Additions_Special Authorization: ACTEMRA 162mg/0.9ml SYRINGE/AUTOINJECTOR962020-Jun-25Word PDF
Benefit List Update: New Additions_OPEN benefit: VYZULTA 0.024 Percent EYE DROPS952020-Jun-24Word PDF
Benefit List Update: New Additions_Special Authorization: SUBLOCADE 100MG/0.5ML, 300MG/1.5ML942020-Jun-24Word PDF
Benefit Change Update: New Special Authorization Criteria 792020-May-08Word PDF
Benefit List Update_New Addition to Existing Category: XALKORI 200MG AND 250MG capsules782020-May-04Word PDF
Benefit List Update: SIVEM AMLODIPINE 2.5 MG TABLET732020-Apr-29Word PDF
Benefit List Update: PMS-FLUOXETINE 40mg, 60 MG CAPSULE722020-Apr-29Word PDF
Open Benefit_Montelukast692020-Apr-29Word PDF
Benefit List Update: Delist_ PMS-SODIUM CROMOGLYCATE682020-Apr-28Word PDF
Benefit List Update: Delist_Nalcrom 100mg capsules672020-Apr-28Word PDF
Benefit List Update: Delist Salbutamol oral tablets662020-Apr-28Word PDF
Reviewed and Rejected: Diclofenac Topical Solution 632020-Apr-16Word PDF
New Additions_Special Authorization: Naltrexone 50mg622020-Apr-16Word PDF
New Addition_Special Authorization_Brineura 382020-Mar-06Word PDF
Benefit List Updates_New Addition_Rydapt 25mg302020-Feb-26Word PDF
Benefit List Updates_New Addition_Tagrisso 40mg and 80mg292020-Feb-26Word PDF
New Addition: SPINRAZA 2.4MG/ML INTRATHECAL SOLUTION262020-Feb-14Word PDF
New Addition: Repatha 140 MG/ML PREFILLED AUTOINJECTOR, 120mg/ml AUTOMATED MINI-DOSER WITH PREFILLED252020-Feb-14Word PDF
Benefit List Update: New Addition: Trelegy Ellipta 100 mcg-62.5 mcg-25 mcg22020-Jan-03Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
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
Update: Short Stock - Travoprost 0.004 percent972020-Jun-26Word PDF
Short-Stock - Travoprost 0.004 percent882020-May-29Word PDF
Update: Short Stock - Cilazapril Monohydrate 5mg852020-May-22Word PDF
Update: Short Stock - Phenytoin Sodium 100mg842020-May-15Word PDF
Short Stock - Cilazapril Monohydrate 5mg822020-May-15Word PDF
Update: Short Stock - Candesartan Cilexetil/Hydrochlorothiazide 32mg/25mg802020-May-08Word PDF
Short Stock - Phenytoin Sodium 100mg762020-May-01Word PDF
Update: Short-Stock - Losartan Potassium Hydrochlorothiazide 100mg/12.5mg 652020-Apr-24Word PDF
Update: Short-Stock - Losartan Potassium Hydrochlorothiazide 100mg/25mg642020-Apr-16Word PDF
Update: Short-Stock - Metoprolol Tartrate 200mg SR582020-Apr-06Word PDF
Update: Short-Stock: Telmisartan 40mg572020-Apr-03Word PDF
Update: Short-Stock: Candesartan 32mg562020-Apr-03Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
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
NLPDP Benefit Status Effective July 1, 2020992020-Jun-26Word PDF
NIDPF Vol. 82 Supplement Effective July 1, 2020 - Refer to Bulletin #99 for Benefit Status982020-Jun-26Word PDF
Delisting from NIDPF and NLPDP Benefit List Effective June 1, 2020922020-Jun-02Word PDF
Coverage Status of Flurbiprofen 50 mg Tablets DIN 01912046912020-Jun-02Word PDF
Online version of NIDPF Vol. 82 effective June 1, 2020892020-Jun-01Word PDF
NLPDP Benefit Status Effective June 1, 2020872020-May-29Word PDF
NIDPF Vol. 82 Supplement Effective June 1, 2020 - Refer to Bulletin #87 for Benefit Status862020-May-29Word PDF
Online version of NIDPF Vol. 82 effective May 1, 2020752020-May-01Word PDF
Update to Bulletin 71 - Dated April 29, 2020742020-Apr-29Word PDF
NLPDP Benefit Status Effective May 1, 2020712020-Apr-29Word PDF
NIDPF Vol. 82 Supplement Effective May 1, 2020 - Refer to Bulletin #71 for Benefit Status702020-Apr-29Word PDF
Online version of NIDPF Vol. 82 effective April 1, 2020532020-Apr-01Word PDF
NLPDP Benefit Status Effective April1, 2020462020-Mar-25Word PDF
NIDPF Vol. 82 Supplement Effective April 1, 2020 - Refer to Bulletin #46 for Benefit Status452020-Mar-25Word PDF
Online version of NIDPF Vol. 81 effective March 1, 2020322020-Feb-28Word PDF
NLPDP Benefit Status Effective March 1, 2020282020-Feb-20Word 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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