Transcription of Louisiana Medicaid Preferred Drug List (PDL)/Non-Preferred ...
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Louisiana Medicaid Preferred Drug List (PDL)/Non-Preferred ...
Louisiana Medicaid Preferred Drug List (PDL)/Non- Preferred Drug List (NPDL) The PDL applies to all individuals enrolled in Louisiana Medicaid , including those covered by one of the managed care organizations (MCOs) and those in the Fee-for-Service (FFS) program The PDL is a list of over 100 therapeutic classes reviewed by the Pharmaceutical & Therapeutics (P&T) committee. With the exception of excluded drug classes listed in the provider manual, medications that are not included in this PDL are almost always covered without the requirement of prior authorization. Examples: spironolactone, hydrochlorothiazide, amoxicillin suspension To locate any medication on this list, you may use the keyboard shortcut CTRL + F to search.
Jan 01, 2022 · AETNA Aetna Better Health of Louisiana 1 -855 242 0802 AMERIHEALTH CARITAS LA AmeriHealth Caritas Louisiana 1-800-684-5502 HEALTHY BLUE Healthy Blue 1-844-521-6942 LOUISIANA HEALTHCARE CONNECTIONS Louisiana Healthcare Connections 1-888-929-3790 UNITEDHEALTHCARE UnitedHealthcare 1-800-310-6826
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