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Movement toward Medicaid unified PDL begins on Jan. 1

The Ohio Department of Medicaid (ODM), in partnership with the Medicaid managed care plans (MCPs), is moving toward creating a unified preferred drug list (PDL). The goals of this initiative include:

Beginning Tuesday, January 1, 2019, all Ohio Medicaid MCPs will prefer the same medications and use the same prior authorization criteria for diabetes drugs (insulin and non-insulin), hepatitis C drugs, and medication assisted treatment (MAT) for opioid use disorder. The ODM is using a phased-in approach to build a unified PDL, adding more categories to it later in 2019.

View the unified PDL 2019.

Prescribers may refer to the ODM Pharmacy website under “Drug Coverage” for more information or can contact the ODM with questions or concerns.

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