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.

2021 Preferred Drug List (PDL) - May 2021

Download this pdf file. Alphabetical by drug name - Posted 04/30/21

Download this pdf file. Alphabetical by drug therapeutic class - Updated 05/12/21

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