Preferred Drug Lists

 

Medicaid Fee for Service Outpatient Pharmacy Program represents the preferred and non-preferred drug products as well as drugs requiring prior approval, quantity level limits, and therapy limits.

2020 Preferred Drug List (PDL) - April 2020

Download this pdf file.Alphabetical by drug name  - Updated 4/1/20

Download this pdf file.Alphabetical by drug therapeutic class - Updated 4/1/20

For all listings for the current year, view PDL below.