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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 February 18) Formulary - Drug Index (PDF)
    Formulary - Product Index (zip) (Updated February 18) Formulary - Product Index (PDF)
    Clinical Prior Authorization Index (txt) (Updated February 18) Clinical Prior Authorization Index (PDF)
    Formulary - HTW Program (XLS) (Updated July 2) Formulary - HTW Program (PDF)

    Pharmacy

    Data File Layout FIle
    Pharmacy Index (txt) (Updated February 18) Pharmacy Index (PDF)

    Prescriber files

    Data File Layout FIle
    Prescriber Index (ZIP) (Updated February 18) Prescriber Index (PDF)