Other Pharmacy Updates (more than 150 available) List
| » | Other Pharmacy Updates (more than 150 available) |
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| Covered Diabetic Supplies (Effective 07.01.2022) | PDF | 235.3 | 05/16/2022 | |
| PDL by Drug Class - Effective 5.1.22 | PDF | 762.9 | 05/02/2022 | |
| PDL by Drug Name - Effective 5.1.22 | PDF | 670.1 | 05/02/2022 | |
| PDL by Drug Class - Effective 4.1.22 | PDF | 764.2 | 04/01/2022 | |
| PDL by Drug Name - Effective 4.1.22 | PDF | 672.3 | 04/01/2022 | |
| QLL List - 2Q2022 | PDF | 743 | 04/01/2022 | |
| PDL by Drug Class - Effective 3.1.22 | PDF | 762.1 | 03/01/2022 | |
| PDL by Drug Name - Effective 3.1.22 | PDF | 669.5 | 03/01/2022 | |
| PDL by Drug Class - Effective 2.1.22 | PDF | 761.6 | 02/01/2022 | |
| PDL by Drug Name - Effective 2.1.22 | PDF | 669.2 | 02/01/2022 | |
| PDL by Drug Class - Effective 1.1.22 | PDF | 760.3 | 01/01/2022 | |
| PDL by Drug Name - Effective 1.1.22 | PDF | 667.7 | 01/01/2022 | |
| QLL List - 1Q2022 | PDF | 726.7 | 01/01/2022 | |
| PDL by Drug Class - Effective 12 1 21 | PDF | 756.2 | 12/01/2021 | |
| PDL by Drug Name - Effective 12 1 21 | PDF | 663.8 | 12/01/2021 | |
| PDL by Drug Class - Effective 11 1 21 | PDF | 756.7 | 11/01/2021 | |
| PDL by Drug Name - Effective 11 1 21 | PDF | 664.4 | 11/01/2021 | |
| PDL by Drug Class - Effective 10 1 21 | PDF | 759.9 | 10/01/2021 | |
| PDL by Drug Name - Effective 10 1 21 | PDF | 668 | 10/01/2021 | |
| QLL List - 4Q2021 | PDF | 718.9 | 10/01/2021 | |
| PDL by Drug Class - Effective 9 1 21 | PDF | 756.6 | 09/01/2021 | |
| PDL by Drug Name - Effective 9 1 21 | PDF | 664.5 | 09/01/2021 | |
| PDL by Drug Class - Effective 8 1 21 | PDF | 756.1 | 08/01/2021 | |
| PDL by Drug Name - Effective 8 1 21 | PDF | 666.9 | 08/01/2021 | |
| PDL by Drug Class - Effective 7 1 21 | PDF | 1206.8 | 07/01/2021 | |
| PDL by Drug Name - Effective 7 1 21 | PDF | 1131.7 | 07/01/2021 | |
| QLL List - 3Q2021 | PDF | 711 | 07/01/2021 | |
| PDL by Drug Class - Effective 6.1.2021 | PDF | 752.3 | 06/01/2021 | |
| PDL by Drug Name - Effective 6.1.2021 | PDF | 660.3 | 06/01/2021 | |
| PDL by Drug Class - Effective 5.1.2021 | PDF | 751.6 | 05/01/2021 | |
| PDL by Drug Name - Effective 5.1.2021 | PDF | 659.5 | 05/01/2021 | |
| PDL by Drug Class - Effective 4.1.2021 | PDF | 753 | 04/01/2021 | |
| PDL by Drug Name - Effective 4.1.2021 | PDF | 661.1 | 04/01/2021 | |
| QLL List - 2Q2021 | PDF | 694.8 | 04/01/2021 | |
| PDL by Drug Class - Effective 3 1 2021 | PDF | 1184.8 | 03/01/2021 | |
| PDL by Drug Name - Effective 3 1 2021 | PDF | 1108.6 | 03/01/2021 | |
| PDL by Drug Class - Effective 2 1 2021 | PDF | 613.7 | 02/01/2021 | |
| PDL by Drug Name - Effective 2 1 2021 | PDF | 553.5 | 02/01/2021 | |
| PDL by Drug Class - Effective 1 1 2021 | PDF | 615.2 | 01/01/2021 | |
| PDL by Drug Name - Effective 1 1 2021 | PDF | 554.8 | 01/01/2021 | |
| QLL List -1Q2021 | PDF | 685.8 | 01/01/2021 | |
| PDL by Drug Class - Effective 12 1 2020 | PDF | 607.9 | 12/01/2020 | |
| PDL by Drug Name - Effective 12 1 2020 | PDF | 549.9 | 12/01/2020 | |
| PDL by Drug Class - Effective 1 11 2020 Revised | PDF | 607.3 | 11/01/2020 | |
| PDL by Drug Name - Effective 11 1 2020 Revised | PDF | 549.6 | 11/01/2020 | |
| Vaccine Coverage List - Outpatient Pharmacy | PDF | 148.1 | 10/14/2020 | |
| PDL by Drug Class - Effective 10 1 2020 Revised | PDF | 611.1 | 10/01/2020 | |
| PDL by Drug Name - Effective 10 1 2020 Revised | PDF | 550.9 | 10/01/2020 | |
| QLL List - 4Q2020 | PDF | 683.3 | 10/01/2020 | |
| OptumRx Payer Sheet - Version D.0 - B1, B2, and B3 Reversals - Revised 09.03.2020 | PDF | 480.4 | 09/03/2020 | |
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