Manuals
- Drug Manufacturer Manual
- Drug Utilization Review Board Handbook
- Pharmacy Provider Payer Sheets
- Pharmacy Provider Procedure Manual
- Retrospective Drug Use Criteria Handbook
- Specialty Drug Handbook
- VDP Website Handbook
Documents
- Enrollment documents
- Pharmacy Delivery Signage
- Education documents
- Dispensing 72-hour Emergency Prescriptions Instructions
- Mosquito Repellent Benefit Information
- Pharmacy Resources for Managed Care Information
- Real-time Eligibility Verification Information
- Managed care documents
- MCO Contact and Pharmacy Claims Billing Information
- MCO Service Area Information
- Formulary Management documents
- Prior Authorization call center documents
- Clinical Prior Authorization documents
- Drug Utilization Review Board documents
- Agendas
- Meeting summaries
- Meeting minutes
- Preferred Drug List recommendations
- Preferred Drug List decisions
Forms
- For pharmacies
- Refer to the list of enrollment forms
- Refer to the list of claim processing forms
- Refer to the list of formulary management forms
- Long-acting reversible contraception product forms
- Refer to the list of prior authorization requests for Medicaid FFS
- Refer to the list of prior authorization requests for CSHCN
- For manufacturers
- Refer to the list of formulary management forms
- Refer to the list of drug rebate agreements
- Refer to the list of value-based agreements
- Refer to the list of rebate administration forms
Data Files
- † Weekly file last updated May 16.
- ‡ Quarterly file last updated April 12.
- * File last updated Feb. 2022