Downloads

Manuals

Files

Forms

    Education Materials

    Name Revised
    Dispensing 72-hour Emergency Prescriptions (PDF) 07/2019
    Pharmacy Resources for Managed Care (PDF) 07/2019
    Real-time Eligibility Verification (PDF) 07/2019
    Mosquito Repellent Benefit (PDF) 07/2019

      Data Files

      File Layout File
      Drug Index (TXT)  Layout (PDF)
      Product Index (TXT) Layout (PDF)
      Clinical Prior Authorization Index (TXT) Layout (PDF)
      Clinician-administered Drug Index (TXT) Layout (PDF)
      HTW and HTW Plus Program (XLS) (Updated April 2021) Layout (PDF)
      Pharmacy Index (TXT) Layout (PDF)
      Prescriber Index (ZIP) Layout (PDF)
      • † Weekly file last updated July 26.
      • ‡ Quarterly file last updated July 12.
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      Resources