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Arkansas Prescription Drug Program PA Criteria
Prescription Drug Program Prior Authorization Criteria Revised 1/1/2022 This document is an informational listing of the medications requiring a Prior Authorization through the Arkansas Medicaid Pharmacy
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Preferred Drug List - Magellan Rx Management
arkansas.magellanrx.comNON-PREFERRED – NON-PREFERRED AGENTS LISTED IN NEXT COLUMN *Please refer to the PDL Criteria Overview for more detail. GENERIC (SAMPLE BRAND) LISTED FOR REFERENCE ONLY. Arkansas Medicaid PA Criteria Document. 10/1/2021. Preferred Drug List.
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