Pharmacist
Prior Authorization Criteria N - Z
The Georgia Department of Community Health establishes the guidelines for drugs requiring a Prior Authorization (PA) in the Georgia Medicaid Fee-for-Service/PeachCare for Kids® Outpatient Pharmacy Program. To view the summary of guidelines for coverage, please select the drug or drug category from the list below.
Drug/Drug Category by Alphabetical listing (A-M | N - Z)
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
- Narcolepsy Agents - Posted 09/03/25
- Narcotic Fill Limit - Posted 02/10/26
- Nasal Antihistamines - Posted 09/03/25
- Nasal Steroids - Posted 09/03/25
- Neurogenic Orthostatic Hypotension Agents - Posted 09/03/25
- Neuropathic Pain - Posted 09/03/25
- Niemann-Pick Disease Agents - Posted 09/08/25
- NSAID and COX II - Posted 09/03/25
- NSAIDs, Topical - Posted 09/03/25
- Nuedexta
- Nutritionals Triglycerides - Posted 09/03/25
- Octreotide and Related Agents - Posted 09/03/25
- Oncology Oral-Breast - Posted 09/08/25
- Oncology Oral-Hematologic - Posted 02/17/26
- Oncology Oral-Ovarian - Posted 09/08/25
- Oncology Oral - Other - Posted 12/31/25
- Oncology Oral-Lung - Posted 09/08/25
- Oncology Oral-Prostate - Posted 03/12/26
- Oncology Oral-Renal - Posted 02/17/26
- Oncology Oral-Skin - Posted 09/03/25
- Opfolda - Posted 09/08/25
- Ophthalmics for Allergic Conjunctivitis - Posted 12/16/25
- Ophthalmic Antibiotics - Posted 09/03/25
- Ophthalmics Anti-inflammatories - Posted 09/03/25
- Ophthalmic Antivirals - Posted 09/08/25
- Ophthalmic Dry Eye Disease - Posted 03/30/26
- Ophthalmic Glaucoma Agents - Posted 09/08/25
- Ophthalmic Steroid Antibiotic Combination - Posted 09/03/25
- Ophthalmics Demodex Blepharitis - Posted 09/08/25
- Ophthalmics for Neurotrophic Keratitis - Posted 09/08/25
- Opiate Dependence Treatments - Posted 09/08/25
- Opioid MME Maximum PA Form - Posted 09/03/25
- Otic Antibiotics - Posted 09/08/25
- Oxazolidinones - Posted 12/16/25
- Palynziq - Posted 09/04/25
- Pancreatic Enzymes - Posted 09/04/25
- Parenteral Nutrition Products -Posted 09/04/25
- Pheochromocytoma Agents - Posted 09/04/25
- Phosphate Binders - Posted 09/08/25
- Pituitary Suppressive Agents - Posted 09/04/25
- Pleuromutilin Antibiotics - Posted 09/04/25
- Potassium Iodide - Posted 02/10/26
- Prader-Willi Syndrome - Posted 10/06/25
- Primary Periodic Paralysis Agents - Posted 09/04/25
-
Proton
Pump Inhibitors
- Posted 09/04/25
- Proton Pump Inhibitors PA Request Form - Posted 09/05/25
- Pulmonary Artery Hypertension Agents - Posted 09/05/25
- Pulmonary Fibrosis Agents - Posted 09/05/25
- Pyridostigmine - Posted 12/16/25
- Pyruvate Kinase Deficiency Agents - Posted 09/05/25
- Ranolazine - Posted 09/05/25
- Rectiv - Posted 09/05/25
- Sedative Hypnotics - Posted 09/05/25
- Sickle Cell Agents - Posted 09/05/25
- Skeletal Muscle Relaxants - Posted 12/16/25
- Sohonos - Posted 09/05/25
- Spinal Muscular Atrophy Agents - Posted 09/05/25
- Stem Cell Mobilizers - Posted 09/05/25
- Stimulants and Related Agents - Posted 12/16/25
- Strensiq - Posted 09/05/25
- Sulfonamides - Posted 09/05/25
- Synribo - Posted 09/05/25
- Tetracyclines - Posted 09/05/25
- Thiola - Posted 09/05/25
- Thrombopoiesis Stimulating Proteins - Posted 09/05/25
- Thyroid Hormones - Posted 09/05/25
-
Tobacco
Cessation
- Posted 12/16/25
- Tobacco Cessation PA Request Form - Posted 12/16/25
- Topical Antineoplastic and Genital Warts - Posted 02/17/26
- Transmucosal Fentanyl - Posted 09/05/25
- Transthyretin Amloidosis Agents - Posted 11/05/25
- Ulcerative Colitis Agents - Posted 09/05/25
- Urea Cycle Disorders Oral - Posted 02/17/26
- Urinary Anti-infectives - Posted 12/16/25
- Urocit K - Posted 09/08/25
- Uterine Disorder Treatments - Posted 09/08/25
- Vaginal Estrogen Preparations - Posted 09/08/25
- Vasodilators, Coronary - Posted 09/08/25
- Vasopressor Receptor Antagonists - Posted 09/08/25
- Vecamyl - Posted 09/08/25
- Vitamin D and ESRD Products - Posted 12/16/25
- Vimizim - Posted 09/08/25
- Wound Care Products - Posted 09/08/25