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          

2020 2019 2018
Effective Date            ​Posted Date​       Effective Date Posted Date Effective Date Posted Date
October 1, 2020
October 1, 2020
October 1, 2020
July 1, 2020
July 1, 2020
January 1, 2020
July 1, 2020
January 1, 2020
January 1, 2020
January 1, 2020
January 1, 2020
January 1, 2020
October 23, 2020
September 29, 2020
August 31, 2020
July 23, 2020
June 26, 2020
June 26, 2020
June 8, 2020
March 3,2020
Dec. 23, 2019
Dec. 11, 2019
Dec. 6, 2020
​Dec. 2, 2020
October 1, 2019
July 1, 2019
July 1, 2019
July 1, 2019
April 1, 2019
April 1, 2019
April 1, 2019
April 1, 2019
April 1, 2019
January 1, 2019
January 1, 2019
January 1, 2019
January 1, 2019
January 1, 2019
January 1, 2019
October 1, 2019
July 26, 2019
July 18, 2019
June 19, 2019
June 19, 2019
May 14, 2019
April 15, 2019
April 2, 2019
March 12, 2019
March 12, 2019
February 19, 2019
January 11, 2019
December 18, 2018
December 7, 2018
November 26, 2018
Nov. 26, 2018
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
November 26, 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
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