Drug Appendices Description
Drug Appendix A
(PDF Format)
A - New list of payable drugs on drug file.
Drug Appendix B
(PDF Format)
B - New list of DESI Drugs by NDC which are not reimbursable.
Drug Appendix C
(PDF Format)
C - New list of Labelers approved for rebate. Their products may be covered only if on Appendix A and not on Appendix B and if not declared obsolete by manufacturer or CMS).