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  Friday, April 16, 2021
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Other Pharmacy Documents

This section contains additional pharmacy related documents that you may need.

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Other Pharmacy Updates (more than 150 available) List
 
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Other Pharmacy Updates (more than 150 available)

 
 TitleFile TypeSize (KB)Release Date 
PDL by Drug Class - Effective 4.1.2021PDF75304/01/2021 
PDL by Drug Name - Effective 4.1.2021PDF661.104/01/2021 
QLL List - 2Q2021PDF694.804/01/2021 
PDL by Drug Class - Effective 3 1 2021 PDF1184.803/01/2021 
PDL by Drug Name - Effective 3 1 2021PDF1108.603/01/2021 
PDL by Drug Class - Effective 2 1 2021 PDF613.702/01/2021 
PDL by Drug Name - Effective 2 1 2021PDF553.502/01/2021 
PDL by Drug Class - Effective 1 1 2021 PDF615.201/01/2021 
PDL by Drug Name - Effective 1 1 2021 PDF554.801/01/2021 
QLL List -1Q2021PDF685.801/01/2021 
PDL by Drug Class - Effective 12 1 2020 PDF607.912/01/2020 
PDL by Drug Name - Effective 12 1 2020 PDF549.912/01/2020 
PDL by Drug Class - Effective 1 11 2020 RevisedPDF607.311/01/2020 
PDL by Drug Name - Effective 11 1 2020 RevisedPDF549.611/01/2020 
Vaccine Coverage List - Outpatient PharmacyPDF148.110/14/2020 
PDL by Drug Class - Effective 10 1 2020 RevisedPDF611.110/01/2020 
PDL by Drug Name - Effective 10 1 2020 RevisedPDF550.910/01/2020 
QLL List - 4Q2020PDF683.310/01/2020 
OptumRx Payer Sheet - Version D.0 - B1, B2, and B3 Reversals - Revised 09.03.2020PDF480.409/03/2020 
PDL by Drug Class - Effective 9 1 2020 RevisedPDF1095.609/01/2020 
PDL by Drug Name - Effective 9 1 2020 RevisedPDF1172.509/01/2020 
PDL by Drug Class - Effective 8 1 2020 PDF117408/01/2020 
PDL by Drug Name - Effective 8 1 2020 PDF1097.608/01/2020 
PDL by Drug Class - Effective 7.1.2020PDF1172.307/01/2020 
PDL by Drug Name - Effective 7.1.2020PDF1096.307/01/2020 
QLL List - 3Q2020PDF669.907/01/2020 
PDL by Drug Class - Effective 6 1 2020 RevisedPDF1162.106/01/2020 
PDL by Drug Name - Effective 6 1 2020 RevisedPDF1086.406/01/2020 
PDL by Drug Class - Effective 5 1 2020 RevisedPDF524.805/01/2020 
PDL by Drug Name - Effective 5 1 2020 RevisedPDF560.105/01/2020 
PDL by Drug Class - Effective 4 1 2020 PDF1019.304/01/2020 
PDL by Drug Name - Effective 4 1 2020 PDF967.704/01/2020 
QLL List - 2Q2020PDF663.804/01/2020 
PDL by Drug Class - Effective 3.1.2020PDF102002/28/2020 
PDL by Drug Name - Effective 3.1.2020PDF968.102/28/2020 
PDL by Drug Class - Effective 2 1 20 revisedPDF1014.202/01/2020 
PDL by Drug Name - Effective 2 1 20 revisedPDF966.602/01/2020 
CMS Labeler List 1Q2020PDF475.501/01/2020 
Covered Diabetic Supplies (Effective 01.01.2020)PDF161.201/01/2020 
PDL by Drug Class - Effective 1.1.20PDF632.501/01/2020 
PDL by Drug Name - Effective 1.1.20PDF596.201/01/2020 
QLL List - 1Q2020PDF968.101/01/2020 
PDL by Drug Class - Effective 12 1 19 revisedPDF632.212/01/2019 
PDL by Drug Name - Effective 12 1 19 revisedPDF595.812/01/2019 
PDL by Drug Class - Effective 10 1 19 revisedPDF621.211/13/2019 
PDL by Drug Name - Effective 10 1 19 revisedPDF585.411/13/2019 
PDL by Drug Class - Effective 11 1 19 revisedPDF623.511/01/2019 
PDL by Drug Name - Effective 11 1 19 revisedPDF587.611/01/2019 
CMS Labeler List 4Q2019PDF156710/01/2019 
QLL List - 4Q2019PDF968.110/01/2019 
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