Pharmacy Enrollment Resources

Managed Care Resources

Drug and Product Resources

Prior Authorization

Drug Rebates

Drug Utilization Review Board

    Education and Training Materials

    Claim Forms

    Delimited Data Files

    Formulary (drugs and products)

    Data File Layout File
    Formulary - Drug Index (zip) (Updated August 19) Formulary - Drug Index (PDF)
    Formulary - Product Index (zip) (Updated August 19) Formulary - Product Index (PDF)
    Clinical Prior Authorization Index (txt) (Updated August 19) Clinical Prior Authorization Index (PDF)
    Formulary - HTW Program (XLS) (Updated July 2, 2019) Formulary - HTW Program (PDF)
    NDC-to-HCPCS Crosswalk (Updated monthly) NDC-to-HCPCS Crosswalk (PDF)
    Drug Labeler file (Updated quarterly) Drug Labeler file (PDF)

    Pharmacy

    Data File Layout FIle
    Pharmacy Index (txt) (Updated August 19) Pharmacy Index (PDF)

    Prescriber files

    Data File Layout FIle
    Prescriber Index (ZIP) (Updated August 19) Prescriber Index (PDF)