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  Friday, May 27, 2022
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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 
Covered Diabetic Supplies (Effective 07.01.2022)PDF235.305/16/2022 
PDL by Drug Class - Effective 5.1.22PDF762.905/02/2022 
PDL by Drug Name - Effective 5.1.22PDF670.105/02/2022 
PDL by Drug Class - Effective 4.1.22PDF764.204/01/2022 
PDL by Drug Name - Effective 4.1.22PDF672.304/01/2022 
QLL List - 2Q2022PDF74304/01/2022 
PDL by Drug Class - Effective 3.1.22PDF762.103/01/2022 
PDL by Drug Name - Effective 3.1.22PDF669.503/01/2022 
PDL by Drug Class - Effective 2.1.22PDF761.602/01/2022 
PDL by Drug Name - Effective 2.1.22PDF669.202/01/2022 
PDL by Drug Class - Effective 1.1.22PDF760.301/01/2022 
PDL by Drug Name - Effective 1.1.22PDF667.701/01/2022 
QLL List - 1Q2022PDF726.701/01/2022 
PDL by Drug Class - Effective 12 1 21PDF756.212/01/2021 
PDL by Drug Name - Effective 12 1 21PDF663.812/01/2021 
PDL by Drug Class - Effective 11 1 21PDF756.711/01/2021 
PDL by Drug Name - Effective 11 1 21PDF664.411/01/2021 
PDL by Drug Class - Effective 10 1 21PDF759.910/01/2021 
PDL by Drug Name - Effective 10 1 21PDF66810/01/2021 
QLL List - 4Q2021PDF718.910/01/2021 
PDL by Drug Class - Effective 9 1 21PDF756.609/01/2021 
PDL by Drug Name - Effective 9 1 21PDF664.509/01/2021 
PDL by Drug Class - Effective 8 1 21PDF756.108/01/2021 
PDL by Drug Name - Effective 8 1 21PDF666.908/01/2021 
PDL by Drug Class - Effective 7 1 21PDF1206.807/01/2021 
PDL by Drug Name - Effective 7 1 21PDF1131.707/01/2021 
QLL List - 3Q2021PDF71107/01/2021 
PDL by Drug Class - Effective 6.1.2021PDF752.306/01/2021 
PDL by Drug Name - Effective 6.1.2021PDF660.306/01/2021 
PDL by Drug Class - Effective 5.1.2021PDF751.605/01/2021 
PDL by Drug Name - Effective 5.1.2021PDF659.505/01/2021 
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 
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