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Virginia Medicaid Pharmacy Services

PDL

PDL

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PDL Criteria
File Name
File Name
VA Medicaid PDL List & Criteria (effective 01/01/2014)
VA Medicaid PDL List & Criteria (effective 07/01/2013)
VA Medicaid PDL List & Criteria (effective 03/04/2013)
VA Medicaid PDL List & Criteria (effective 01/01/2013)
VA Medicaid PDL List & Criteria (effective 09/26/2012)
VA Medicaid PDL List & Criteria (effective 07/01/2012)
VA Medicaid PDL List & Criteria (effective 01/01/2012)
VA Medicaid PDL List & Criteria (effective 10/19/2011)
VA Medicaid PDL List (effective 07/01/2011)
VA Medicaid PDL Criteria (effective 05/11/2011)
VA Medicaid PDL Criteria (effective 02/23/2011)
VA Medicaid PDL Criteria (effective 01/01/2011)
VA Medicaid PDL Criteria (effective 07/01/2010)
VA Medicaid PDL Criteria (effective 04/01/2010)
VA Medicaid PDL Criteria (effective 01/01/2010)
PDL Medicaid Memos
File Name
File Name
VA Medicaid PDL Medicaid Memo (for PDL effective 01/01/2014)
VA Medicaid PDL Medicaid Memo (for PDL effective 07/01/2013)
VA Medicaid PDL Medicaid Memo (for PDL effective 01/01/2013)
VA Medicaid PDL Medicaid Memo (for PDL effective 07/01/2012)
VA Medicaid PDL Medicaid Memo (for PDL effective 01/01/2012)
VA Medicaid PDL Medicaid Memo (for PDL effective 06/01/2011)
VA Medicaid PDL Medicaid Memo (for PDL effective 01/01/2011)
VA Medicaid PDL Medicaid Memo (for PDL effective 07/01/2010)
VA Medicaid PDL Medicaid Memo (for PDL effective 04/01/2010)
VA Medicaid PDL Medicaid Memo (for PDL effective 01/01/2010)
VA Medicaid PDL Medicaid Memo (for PDL effective 07/01/2008)
VA Medicaid PDL Medicaid Memo (for PDL effective 07/01/2007)
PDL Quick List
File Name
File Name
VA Medicaid PDL List & Criteria (effective 01/01/2014)
VA Medicaid PDL List & Criteria (effective 07/01/2013)
VA Medicaid PDL List & Criteria (effective 03/04/2013)
VA Medicaid PDL List & Criteria (effective 01/01/2013)
VA Medicaid PDL List & Criteria (effective 09/26/2012)
VA Medicaid PDL List & Criteria (effective 07/01/2012)
VA Medicaid PDL List & Criteria (effective 01/01/2012)
VA Medicaid PDL List & Criteria (effective 10/19/2011)
VA Medicaid PDL List (effective 07/01/2011)
VA Medicaid PDL Quick List (effective 05/11/2011)
VA Medicaid PDL Quick List (effective 02/23/2011)
VA Medicaid PDL Quick List (effective 01/01/2011)
VA Medicaid PDL Quick List (effective 07/01/2010)
VA Medicaid PDL Quick List (effective 04/01/2010)
VA Medicaid PDL Quick List (effective 01/01/2010)
Other
File Name
File Name
Atypical Antipsychotic Medications in Children less than 6 years old
VA Medicaid PDL New Generic Drug Policy
VA Medicaid PDL Generic (multi-source) Policy
VA Medicaid PDL Process for Reviewing New Drugs
VA Medicaid PDL Phase I and II Drug Classes

Last Updated on: 01/03/2014