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Medical & Drug Policies

Medical Benefit Coverage Policies (BCP)

Drug Determination Policies (DDP)

Archived

Archived Medical Benefit Coverage Policies (BCP)

Archived

Archived Drug Determination Policies (DDP)

Notifications and Prior Approval:
Notification and Prior Approval Table

Pharmacy Information:
Prescription Drug Lists-
2026 Prescription Drug List - Includes Tier 3 and Tier 4 Plans
2026 Prescription Drug List - Tier 6 Plans

Drug Recalls:
FDA Drug Recalls
ESI Drug Recalls