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 November 18) Formulary - Drug Index (PDF)
    Formulary - Product Index (zip) (Updated November 18) Formulary - Product Index (PDF)
    Clinical Prior Authorization Index (txt) (Updated November 18) Clinical Prior Authorization Index (PDF)
    Formulary - HTW Program (XLS) (Updated Oct. 2019) Formulary - HTW Program (PDF)
    NDC-to-HCPCS Crosswalk (Updated monthly) NDC-to-HCPCS Crosswalk (PDF)


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

    Prescriber files

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