Pharmacy Archives
| RXPA Forms or Files | Description |
| RXPA
Informational Letter (PDF Format) (last modified 5/28/02) |
Letter sent to Pharmacy Providers detailing the introduction of the RxPA Program and the Preferred Drug List (PDL) |
| RXPA
Informational Letter (PDF Format) (last modified 10/14/02) |
Letter sent to Prescribing Providers and Pharmacy Providers detailing the progress of the RxPA Program and the most recent version of the Preferred Drug List (PDL) |
| RXPA
Informational Letter (02/04/03) (PDF Format) (last modified 2/18/02) |
Letter sent to Prescribing Providers and Pharmacy Providers detailing the progress of the RxPA Program and the most recent version of the Preferred Drug List (PDL) |
| RXPA
Informational Letter (02/14/03) (PDF Format) (last modified 2/18/02) |
Letter sent to Prescribing Providers and Pharmacy Providers detailing the progress of the RxPA Program and the most recent version of the Preferred Drug List (PDL) |
| RXPA
Informational Letter (03/17/03) (PDF Format) (last modified 3/26/03) |
Letter sent to Prescribing Providers and Pharmacy Providers detailing the progress of the RxPA Program and the most recent version of the Preferred Drug List (PDL). |
| RXPA
Informational Letter
(09/12/03)-Pharmacy Providers (PDF Format) (last modified 9/26/03) |
Letter sent to Pharmacy Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List (PDL). |
| RXPA
Informational Letter
(09/12/03)-Prescribing Practitioners (PDF Format) (last modified 9/26/03) |
Letter sent to Prescribing Practitioners detailing the progress of the RxPA Program and the most current version of the Preferred Drug List (PDL). |
| RxPA
Informational Letter (03/15/04) - Pharmacy Providers (PDF Format) (last modified 4/1/04) |
Letter sent to Pharmacy Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter (03/15/04) - Prescribing Practitioners (PDF Format) (last modified 4/1/04) |
Letter sent to Prescribing Practitioners detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter (06/14/04) - Pharmacy Providers (PDF Format) (last modified 07/1/04) |
Letter sent to Pharmacy Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter
(06/14/04) - Prescribing Providers (PDF Format) (last modified 07/1/04) |
Letter sent to Prescribing Practitioners detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter (09/17/04) - Pharmacy Providers (PDF Format) (last modified 09/10/04) |
Letter sent to Pharmacy Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter (09/17/04) - Prescribing Providers (PDF Format) (last modified 09/10/04) |
Letter sent to Prescribing Practitioners detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter 06/20/05 - Pharmacy Providers (PDF Format) (last modified 6/2/05) |
Letter sent to Pharmacy Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter 06/20/05 - Prescribing Providers (PDF Format) (last modified 6/2/05) |
Letter sent to Prescribing Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter 10/20/05 - Pharmacy Providers (PDF Format) (last modified 10/7/05) |
Letter sent to Pharmacy Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter 10/20/05 - Prescribing Providers (PDF Format) (last modified 10/7/05) |
Letter sent to Prescribing Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter 02/24/06 - Pharmacy Providers (PDF Format) (last modified 03/02/06) |
Letter sent to Pharmacy Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter 02/24/06 - Prescribing Providers (PDF Format) (last modified 03/02/06) |
Letter sent to Prescribing Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter 09/22/06 - Pharmacy Providers (PDF Format) (last modified 09/08/06) |
Letter sent to Pharmacy Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter 09/22/06 - Prescribing Providers (PDF Format) (last modified 09/08/06) |
Letter sent to Prescribing Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| RxPA
Informational Letter 03/22/07 - Pharmacy Providers (PDF Format) (last modified 03/05/07) |
Letter sent to Pharmacy Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
|
RxPA Informational Letter 03/22/07 - Prescribing Providers (PDF Format) (last modified 03/5/07) |
Letter sent to Prescribing Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
|
RxPA Informational Letter 09/20/07 - Pharmacy Providers (PDF Format) |
Letter sent to Pharmacy Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
|
RxPA Informational Letter 09/20/07 - Prescribing Providers (PDF Format) |
Letter sent to Prescribing Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
|
RxPA Informational Letter 11/01/08 - Prescribing Providers (PDF Format) |
Letter sent to Prescribing Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
|
RxPA Informational Letter 11/01/08 - Pharmacy Provider (PDF Format) |
Letter sent to Prescribing Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
|
RxPA Informational Letter 04/01/09 - Prescribing Providers (PDF Format) |
Letter sent to Prescribing Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
|
RxPA Informational Letter 04/01/09 - Pharmacy Provider (PDF Format) |
Letter sent to Pharmacy Providers detailing the progress of the RxPA Program and the most current version of the Preferred Drug List. |
| Appendix
D. Retroactive EligibilityProcess for RxPA (PDF Format) (last modified 3/26/03) |
Details the information required to review retroactive eligibility. |
| RXPA
Fax Form (PDF
Format) (last modified 5/27/02) |
Form used to submit information to the RXPA Program |
| Archived PDLs | Description |
| Preferred
Drug List (PDF Format) (last modified 10/7/05) |
Louisiana Medicaid Preferred Drug List (PDL) - October 2005 |
| Preferred
Drug List Update
Issuance #03-01 (PDF Format) (last modified 02/18/03) |
Update to the Louisiana Medicaid Preferred Drug List. Provider Notification 02/04/03. |
| Preferred
Drug List Update
Issuance #03-02 (PDF Format) (last modified 02/18/03) |
Update to the Louisiana Medicaid Preferred Drug List. Provider Notification 02/14/03. |
| Preferred
Drug List Update
Issuance #03-03 (PDF Format) (last modified 03/26/03) |
Update to the Louisiana Medicaid Preferred Drug List. Provider Notification 03/17/03. |
| Preferred
Drug List Update and Informational Letter Issuance #03-04 (PDF
Format) (last modified 9/26/03) |
Letter sent to Prescribing Provider and Pharmacy Providers detailing the progress of the RXPA Program and the most recent version of the Louisiana Medicaid Preferred Drug List (PDL). Provider Notification 07/14/2003. |
| Preferred
Drug List Update Issuance#03-05 (PDF Format) (last modified 9/26/03) |
Complete, most current listing of drugs on the Medicaid Prior Authorization (PA Process' Preferred Drug List (PDL). The listing includes preferred drugs and those drugs requiring prior authorization. |
| Preferred
Drug List Update
Issuance #04-01 (PDF Format) (last modified 4/1/04) |
Complete, most current listing of drugs on the Medicaid Prior Authorization (PA Process' Preferred Drug List (PDL). The listing includes preferred drugs and those drugs requiring prior authorization. |
| Preferred Drug
List Update Issuance #04-02 (PDF Format) (last modified 7/1/04) |
Complete, most current listing of drugs on the Medicaid Prior Authorization (PA Process' Preferred Drug List (PDL). The listing includes preferred drugs and those drugs requiring prior authorization. |
| Preferred Drug
List Update Issuance #04-03 (PDF Format) (last modified 9/10/04) |
Complete, most current listing of drugs on the Medicaid Prior Authorization (PA Process' Preferred Drug List (PDL). The listing includes preferred drugs and those drugs requiring prior authorization. |
| Preferred
Drug List Update Issuance #0601 (PDF Format) (last modified 3/2/06) |
Complete, most current listing of drugs on the Medicaid Prior Authorization (PA Process' Preferred Drug List (PDL). The listing includes preferred drugs and those drugs requiring prior authorization. |
| Preferred
Drug List Update Issuance # 06-02 (PDF Format) (last modified 09/08/06) |
Complete, most current listing of drugs on the Medicaid Prior Authorization (PA Process' Preferred Drug List (PDL). The listing includes preferred drugs and those drugs requiring prior authorization. |
| Preferred
Drug List Update Issuance # 07-01 (PDF Format) (last modified 03/05/07) |
Complete, most current listing of drugs on the Medicaid Prior Authorization (PA Process' Preferred Drug List (PDL). The listing includes preferred drugs and those drugs requiring prior authorization. |
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Preferred Drug List Update Issuance # 07-02 (PDF Format) (last modified 09/1/07) |
Complete, most current listing of drugs on the Medicaid Prior Authorization (PA Process' Preferred Drug List (PDL). The listing includes preferred drugs and those drugs requiring prior authorization. |
|
Preferred Drug List Update Issuance # 08-01 (PDF Format) (last modified 04/9/08) |
Complete, most current listing of drugs on the Medicaid Prior Authorization (PA Process' Preferred Drug List (PDL). The listing includes preferred drugs and those drugs requiring prior authorization. |
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Preferred Drug List Update Issuance # 08-02 (PDF Format) (last modified 11/01/08) |
Complete, most current listing of drugs on the Medicaid Prior Authorization (PA Process' Preferred Drug List (PDL). The listing includes preferred drugs and those drugs requiring prior authorization. |
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Preferred Drug List Update Issuance # 09-01 (PDF Format) (last modified 04/01/09) |
Complete, most current listing of drugs on the Medicaid Prior Authorization (PA Process' Preferred Drug List (PDL). The listing includes preferred drugs and those drugs requiring prior authorization. |
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Preferred Drug List Update Issuance # 09-02 (PDF Format) (last modified 10/01/09) |
Complete, most current listing of drugs on the Medicaid Prior Authorization (PA Process' Preferred Drug List (PDL). The listing includes preferred drugs and those drugs requiring prior authorization. |