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picture1_Pdl Item Download 2023-01-16 20-07-02


picture2_Pdl Item Download 2023-01-16 20-07-02 picture3_Pdl Item Download 2023-01-16 20-07-02

 92x       Filetype PDF       File size 1.51 MB       Source: ldh.la.gov


File: Pdl Item Download 2023-01-16 20-07-02
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 ...

icon picture PDF Filetype PDF | Posted on 16 Jan 2023 | 2 years ago

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...Louisiana medicaid preferred drug list pdl non npdl the applies to all individuals enrolled in including those covered by one of managed care organizations mcos and fee for service ffs program is a over therapeutic classes reviewed pharmaceutical therapeutics p t committee with exception excluded listed provider manual medications that are not included this almost always without requirement prior authorization examples spironolactone hydrochlorothiazide amoxicillin suspension locate any medication on you may use keyboard shortcut ctrl f search there mandatory generic substitution unless brand when no special notations required prescriber pharmacist enters daw field d has determined it be medically necessary or must written prescription s handwriting noted via an electronic more information please refer as available through process each organization mco have their own departments same request form some require diagnosis code at pharmacy indicate condition treated override limit such qua...
								

							

						
	
												
				
					
					
					
			
					
				
				
		
	

	
		





	

	
				

						

						
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										Category:  Uncategorized / Uncategorized 
										
Posted on: 16 Jan 2023 | 2 years ago
										
										
Tag:
																																		download pdf,
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																								2023,
											                                        
																				
Filetype: PDF
										
File size: 1.51 MB
										
Views: 92x
										
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Uploaded by:
										Wan learn
											

												Wan learn