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 October 14) Formulary - Drug Index (PDF)
    Formulary - Product Index (zip) (Updated October 14) Formulary - Product Index (PDF)
    Clinical Prior Authorization Index (txt) (Updated October 14) 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)
    Drug Labeler file (Updated quarterly) Drug Labeler file (PDF)

    Pharmacy

    Data File Layout FIle
    Pharmacy Index (txt) (Updated October 14) Pharmacy Index (PDF)

    Prescriber files

    Data File Layout FIle
    Prescriber Index (ZIP) (Updated October 14) Prescriber Index (PDF)