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Overview

Providing DMAS service providers, other DMAS business associates and special interest groups with general knowledge of pharmaceutical programs being implemented and to serve as a reference guide for any pharmacy initiatives. This is a reference site for the Preferred Drug List and Prior Authorization Programs, as well as for information on upcoming changes.

Announcements

During the COVID-19 health emergency, Virginia Medicaid members could obtain a 90-day supply of all prescription medicines, excluding schedule II medications.

The state’s public health emergency expired on June 30, 2021.  DMAS provided a 90-day transition period after the end of the public health emergency that will end on September 30, 2021.

Starting October 1, 2021, Medicaid members may still be able to get 90-day supplies of some prescriptions. Other medicines will be available in a 34-day supply, a return to the policy in place before the health emergency.

The drugs still available in 90-day supplies include many of the maintenance medicines on the Preferred Drug List used most often by our members for longer-term therapy. Medicaid members whose medicines qualify for a 90-day supply will first receive two shorter refills of 34-days each. After these two shorter refills, Medicaid members may return to refills lasting 90 days.

Prescription medications that are not eligible for longer-term supplies will return to refills for 34-days.

This is a new permanent policy. In the past, all prescription drugs were limited to a 34-day supply. We are excited to take lessons learned during the beginning of the COVID-19 crisis and translate them into permanent policies to ensure access and convenience for our members.



Prescription Drug Formularies

Virginia Medicaid’s Preferred Drug List (PDL)/ Common Core Formulary

Virginia Medicaid Preferred Drug List (PDL) Fee-for-Service




Additional Information


For questions related to the PDL or other pharmacy programs send an email to: pdlinput@dmas.virginia.gov.

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Related

Virginia Pharmacy Services

 

Provides important information about the Virginia Medicaid Pharmacy Services program.