Preferred Drug List

The Preferred Drug List (PDL)  is a medication list recommended to the Bureau for Medical Services by the Medicaid Pharmaceutical and Therapeutics (P & T) Committee and approved by the Secretary of the Department of Health and Human Resources, as authorized by West Virginia Code §9-5-15.  The drugs which are indicated as "preferred" have been selected for their clinical significance and overall efficiencies.
 
All Medicaid-covered drugs noted as "non-preferred" will continue to be available through the prior authorization process.  Some select preferred drugs may require prior authorization, as noted.  A three-day emergency supply of prior-authorized drugs can be dispensed by a pharmacy until authorization is completed.
 
Please note:  The PDL only addresses certain drug classes.  Some classes of drugs will not be reviewed for preferential agents because of no or limited cost savings.  Therefore, drugs which have historically been covered by Medicaid and are not listed on the Preferred Drug List will continue to be covered.
 
New drugs introduced into the marketplace in therapeutic classes that have been reviewed will be considered non-preferred until the annual review of the particular therapeutic class.  Exceptions to this policy will be made for drugs which the FDA has given priority status.
 
BMS contracts with Change HealthCare (CHC),  for assistance with PDL development and clinical support.  BMS is also a member of the Sovereign States Drug Consortium (SSDC), the only state administered multi-state supplemental rebate pool.   For more information about CHC or SSDC, please refer to their websites at www.changehealthcare.com or http://www.rxssdc.org respectively.
 
 
 
 Preferred Drug Lists
 
            ​2019                  ​         ​2018​ ​ ​ ​​2017 ​ ​ ​2016 ​ ​
Effective Date Posted Date    ​ Effective Date​ Posted Dated​ Effective Date​ Posted Dated​ ​Effective Date Posted Date​

October 1, 2018
October 1, 2018
October 1, 2018
July 1, 2018
July 1, 2018
July 1, 2018
July 1, 2018
July 1, 2018
April 1, 2018
April 1, 2018
April 1, 2018
April 1, 2018
January 1, 2018
January 1, 2018
January 1, 2018
January 1, 2018
January 1, 2018

January 1, 2018
​January 1, 2018
January 1, 2018
​October 5, 2018
September 7, 2018
August 30, 2018
July 25, 2018
July 5, 2018
June 22, 2018
June 4, 2018
May 29, 2018
April 5, 2018
March 23, 2018
March 23, 2018
January 19, 2018
January 11, 2018
January 11, 2018
January 9, 2018
January 5, 2018
December 15, 2017
​November 30, 2017
October 1, 2017
October 1, 2017
October 1, 2017
July 1, 2017
July 1, 2017
July 1, 2017
July 1, 2017
July 1, 2017

July 1, 2017
April 1, 2017
January 1, 2017
January 1, 2017

January 1, 2017​
January 1, 2017
January 1, 2017
January 1, 2017
​October 16, 2017
September 18, 2017
September 6, 2017
July 26, 2017
July 13, 2017
July 11, 2017
June 6, 2017
June 2, 2017
April 5, 2017
April 5, 2017
January 23, 2017
December 28, 2016
December 7, 2016
December 2, 2016
​​October 1, 2016
October 1, 2016
October 1, 2016
October 1, 2016
October 1, 2016
July 1, 2016
July 1, 2016
July 1, 2016
July 1, 2016
July 1, 2016
April 1, 2016
April 1, 2016
April 1, 2016
April 1, 2016
January 1, 2016
January 1, 2016
January 1, 2016
January 1, 2016
January 1, 2016
January 1, 2016 

​December 7, 2016
November 3, 2016
October 17, 2016
October 4, 2016
September 9. 2016
September 8, 2016
July 26, 2016
July 6, 2016
June 3, 2016
May 9, 2016
June 2, 2016
May 2, 2016
April 6, 2016
March 1, 2016
March 15, 2016
March 11, 2016
February 2, 2016
January 5, 2016
January 1, 2016
December 7, 2015
 
   

            

 

 

 
 

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