Drug Coverage Information

The Ohio Department of Medicaid (ODM) provides coverage of both prescription and over-the-counter drugs. The links below allow both providers and beneficiaries to find information about drug coverage. These resources include a web-based Drug Look Up Tool that may help answer questions not specifically addressed in the Helpful Links below. The goal of ODM drug coverage is to ensure the effective use of healthcare by improving patient access to affordable care, minimizing overall medical costs and improving the quality of life for our recipients.

Helpful Links:

  • An online Drug Lookup Tool is available to assist in determining coverage of a specific product. The Tool can be accessed here.
  • UPDL Criteria Effective 1/1/2023 (DOWNLOAD)
  • Additional Therapeutic Classes with Clinical Criteria (DOWNLOAD)
  • Quantity Limits (DOWNLOAD).
  • Covered Active Pharmaceutical Ingredients and Excipients for Compounding (DOWNLOAD).
  • Ohio Medicaid Preferred Diabetic Supply List (DOWNLOAD).
  • 30-Day Change Notice for Changes Effective January 1st, 2023 (DOWNLOAD).

Have questions? For assistance with any of the information on this page or for any assistance with claims processing activities please contact the OHIO PHARMACY CLINICAL SERVICES HELP DESK.