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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Update: Short-Stock: Telmisartan 40mg572020-Apr-03Word PDF
Update: Short-Stock: Candesartan 32mg562020-Apr-03Word PDF
Special Authorization Renewal Extensions552020-Apr-03Word PDF
Methadone and Methadone Carries542020-Apr-02Word PDF
Online version of NIDPF Vol. 82 effective April 1, 2020532020-Apr-01Word PDF
COVID 30-Day Dispense Fees522020-Mar-31Word PDF
Payment Statements for the Periods of February 13 - March 25, 2020512020-Mar-31Word PDF
Update: Short-Stock: Budesonide AQ. N.S. 64mcg502020-Mar-27Word PDF
Update: Short-Stock: Ramipril-HCTZ 2.5/12.5MG492020-Mar-27Word PDF
Update: Short-Stock: Losartan Potassium 25mg482020-Mar-27Word PDF
Update: Short-Stock: Losartan Potassium 100mg472020-Mar-27Word 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
Short Stock - Levobunolol Hydrochloride 0.5 percent442020-Mar-18Word PDF
Short Stock - Dipyridamole / Acetylsalicylic Acid 200mg / 25mg432020-Mar-17Word PDF
Update: Short-Stock - Butalbital/Codeine Phosphate/Acetylasalicylic Acid/Caffeine C1/2422020-Mar-16Word PDF
Update: Short-Stock - Butalbital/Codeine Phosphate/Acetylasalicylic Acid/Caffeine C1/4412020-Mar-16Word PDF
Update: Building Shutdown402020-Mar-13Word PDF
Building Shutdown392020-Mar-12Word PDF
New Addition_Special Authorization_Brineura 382020-Mar-06Word PDF
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Document Name: Date Range: To


Document NameDateView
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
Coverage Status Table - November 20182018-Nov-23 PDF
Coverage Status Table - October 20182018-Nov-16 PDF
Coverage Status Table - September, 20182018-Sep-25 PDF
Coverage Status Table - August, 20182018-Aug-23 PDF
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Document Name: Date Range: To


Document NameDateView
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
Diabetic Listing - August 3, 2018 (Refer to Bulletin #116 posted on August 3, 2018)2018-Aug-03Word PDF
 
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
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
Benefit List Update: New Addition: MAVIRET 100 MG-40 MG TABLET2342019-Dec-18Word PDF
Benefit List Update: Special Authorization: New Addition: ACCEL-SEVELAMER 800mg2312019-Dec-10Word PDF
Benefit List Update: KEVZARA 150mg and 200mg , 1.14ml prefilled syringe and pen2292019-Dec-04Word PDF
Benefit List Update: Probuphine 80mg Implant2282019-Dec-04Word PDF
New Din Addition: Special Authorization_Ozempic2242019-Nov-27Word PDF
Benefit List Update: New Addition Juluca 50mg/25mg2052019-Oct-29Word PDF
Benefit List Update: New Addition: Biktarvy 50mg/200mg/25mg2002019-Oct-24Word PDF
Benefit list updates_New additions_FULVESTRANT 250MG/5ML SYRINGE1982019-Oct-22Word PDF
Benefit List Update: New Addition: Synjardy and Jardiance 1972019-Oct-22Word PDF
New Addition: Sandoz Levetiracetam 1000 MG TABLET1952019-Oct-18Word PDF
Benefit List Update: New Addition_Ocrevus 300mg1912019-Oct-10Word PDF
Benefit list updates_New addition_ALECENSARO 150MG CAPSULES1902019-Oct-08Word PDF
Benefit List Update_ New Addition: VENCLEXTA 10MG, 50MG, 100MG TABLETS, AND STARTER PACK1702019-Sep-13Word PDF
Benefit List Update_New Add: LYNPARZA 100, 150 MG & New Add to existing Cat: JAKAVI 5,10,15, 20 MG1632019-Sep-03Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
Update: Short-Stock: Telmisartan 40mg572020-Apr-03Word PDF
Update: Short-Stock: Candesartan 32mg562020-Apr-03Word PDF
Update: Short-Stock: Budesonide AQ. N.S. 64mcg502020-Mar-27Word PDF
Update: Short-Stock: Ramipril-HCTZ 2.5/12.5MG492020-Mar-27Word PDF
Update: Short-Stock: Losartan Potassium 25mg482020-Mar-27Word PDF
Update: Short-Stock: Losartan Potassium 100mg472020-Mar-27Word PDF
Short Stock - Levobunolol Hydrochloride 0.5 percent442020-Mar-18Word PDF
Short Stock - Dipyridamole / Acetylsalicylic Acid 200mg / 25mg432020-Mar-17Word PDF
Update: Short-Stock - Butalbital/Codeine Phosphate/Acetylasalicylic Acid/Caffeine C1/2422020-Mar-16Word PDF
Update: Short-Stock - Butalbital/Codeine Phosphate/Acetylasalicylic Acid/Caffeine C1/4412020-Mar-16Word PDF
Update: Short-Stock - Dorzolamide Timolol 20mg/5mg/ml372020-Mar-06Word PDF
Update: Short-Stock - Butalbital/Acetylsalicylic Acid/Caffeine362020-Mar-06Word PDF
Update: Short-Stock - Phenytoin Sodium 100mg342020-Feb-28Word PDF
Short Stock - Ramipril-HCTZ 2.5/12.5mg332020-Feb-28Word PDF
Update: Short-Stock - Fulvestrant 50 mg/ml312020-Feb-27Word PDF
Short-Stock - Telmisartan 40mg 242020-Feb-11Word PDF
Short-Stock - Fulvestrant 50 mg/ml232020-Feb-11Word PDF
Update: Short-Stock - Acetaminophen Compound with Codeine 30 mg222020-Feb-07Word PDF
Update: Short-Stock - Verapamil SR 120 mg212020-Feb-07Word PDF
Update: Short-Stock - Valsartan 80 mg202020-Feb-07Word PDF
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Document Name: Bulletin #: Date Range: To


Document NameBulletin NumberDateView
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
NIDPF Vol. 81 Supplement Effective March 1, 2020 - Refer to Bulletin #28 for Benefit Status272020-Feb-20Word PDF
Online version of NIDPF Vol. 81 effective February 1, 2020152020-Jan-31Word PDF
NLPDP Benefit Status Effective February1, 2020142020-Jan-28Word PDF
NIDPF Vol. 81 Supplement Effective February 1, 2020- Refer to Bulletin #14 for Benefit Status132020-Jan-28Word PDF
Online version of NIDPF Vol. 81 effective January 1, 20202432019-Dec-31Word PDF
NLPDP Benefit Status Effective January 1, 20202372019-Dec-20Word PDF
NIDPF Vol. 81 Supplement Effective January 1, 2020- Refer to Bulletin #237 for Benefit Status2362019-Dec-20Word PDF
Online version of NIDPF Vol. 81 effective December 1, 20192252019-Nov-29Word PDF
NLPDP Benefit Status Effective December 1, 20192232019-Nov-27Word PDF
NIDPF Vol. 81 Supplement Effective December 1, 2019 - Refer to Bulletin #223 for Benefit Status2222019-Nov-27Word PDF
Teva-Fulvestrant Pricing Error2202019-Nov-20Word PDF
Change in Billing Format for Imiquimod 5 percent Cream2182019-Nov-13Word PDF
Online version of NIDPF Vol. 81 effective November 1, 20192092019-Nov-01Word PDF
NLPDP Benefit Status Effective November 1, 20192042019-Oct-29Word PDF
NIDPF Vol. 81 Supplement Effective November 1, 2019 - Refer to Bulletin #204 for Benefit Status2032019-Oct-29Word PDF
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Document Name: Date Range: To


Document NameDateView
2020 Payment Schedule2019-Dec-09Word PDF
2019 Payment Schedule2018-Dec-20Word PDF
NLPDP Application for Participation2018-Jun-18Word PDF
 
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