Recent Communications
07/10/2020
Updated Provider Manual posted
07/2/2020
COVID-19 Specimen Collection Payer Sheet Effective 7/2/2020 posted
06/24/2020
July 8th 2020 P&T Agenda posted
06/22/2020
COVID-19 Specimen Collection Payer Sheet Effective 6/22/2020 posted
06/19/2020
Updated 2020 MyCare Ohio and MCP Pharmacy Reference Guide posted
05/15/2020
May 12, 2020 DUR Board Meeting Minutes posted
2020 vol 11 DUR Digest posted
04/28/2020
May 12, 2020 DUR Board Meeting Agenda posted
04/27/2020
Pharmacy Industry Day Application posted
04/20/2020
Updated Prior Authorization Forms published
03/31/2020
UPDL Effective 4/1/2020 published
03/16/2020
The P&T Committee Meeting that was scheduled for April 15th, 2020 has been cancelled.
03/02/2020
Updated Additional Therapeutic Classes with Clinical Criteria Document posted
02/24/2020
30 Day Change Notice posted
02/18/2020
Updated 2020 MyCare Ohio and MCP Pharmacy Reference Guide posted
02/13/2020
February 11, 2020 DUR Board Meeting Minutes posted
02/05/2020
2020 vol 10 DUR Digest posted
01/31/2020
UPDL Effective 1/1/2020 Published.
01/27/2020
February 11, 2020 DUR Board Agenda posted.
01/24/2020
Revised 2020 Ohio Medicaid Preferred Supply List posted.
01/22/2020
January 15, 2020 P&T Minutes posted.
01/08/2020
January 15th, 2020 Revised P&T Agenda posted.
01/03/2020
Press Release: Ohio Medicaid Launches Unified Preferred Drug List
01/01/2020
UPDL Effective 1/1/2020 Published.
2020 MyCare Ohio and MCP Pharmacy Reference posted
2020 Ohio Medicaid Preferred Supply List posted
12/19/2019
PDL Effective 1/1/2020 Published.
12/16/2019
January 15th, 2020 P&T Agenda posted
11/27/2019
January 1st, 2020 Changes posted
11/19/2019
November 12, 2019 DUR Board Minutes posted
The UPDL Webpage has been published
2019 vol 9 DUR Digest posted
11/08/2019
PDL Effective 1/1/2020 Published.
News Release: Ohio Medicaid Finalizes Unified Preferred Drug List
10/16/2019
November 15th Changes posted
Prior Authorization and Step Therapy Frequently Asked Questions Document posted
10/09/2019
October 2, 2019 P&T Minutes posted
10/03/2019
The Unified Preferred Drug List (PDL) Announcement posted
PDL Effective 10/1/2019 Published
09/23/2019
September 17, 2019 DUR Board Minutes posted
09/19/2019
Draft Unified PDL posted
09/05/2019
October 1st Changes posted
08/30/2019
October 2nd, 2019 P&T agenda posted.
September 17, 2019 DUR Board Agenda posted.
08/20/2019
2019 vol 8 DUR Digest posted.
07/17/2019
Pharmacy Claims Review Provider Manual July 2019 posted.
07/12/2019
July 10, 2019 P&T Minutes posted.
06/14/2019
2019 MyCare Ohio and MCP Pharmacy Reference posted.
05/31/2019
Information regarding July 1st changes posted.
05/23/2019
2019 vol 7 DUR Digest posted.
05/20/2019
May 14, 2019 DUR Board Minutes posted.
04/26/2019
May 14, 2019 DUR Board Agenda posted.
04/15/2019
April 10, 2019 P&T Minutes posted.
03/01/2019
Information regarding April 1st changes posted.
02/01/2019
Information regarding the Coordinated Services Program posted.
01/31/2019
Pharmacy Claims Review Provider Manual January 2019 posted.
01/28/2019
February 12th, 2019 DUR Board agenda posted.
01/03/2019
2019 vol 6 DUR Digest posted.
01/01/2019
Updated Provider Manual and new Omnipod PA form posted
11/30/2018
Information regarding UPDL initiative delayed indefinitely posted.
11/30/2018
2018 Cost of Dispensing Survey posted.
11/30/2018
Information regarding January 1st changes posted.
11/20/2018
November 13th, 2018 DUR Board draft meeting minutes posted.
11/02/2018
PDL Effective 1/1/2019 Published.
10/30/2018
DUR Committee membership updated.
November 13th, 2018 DUR Board agenda posted.
Unified Preferred Drug List (PDL) provider memorandum posted.
10/10/2018
October 3, 2018 P&T Minutes posted.
10/04/2018
2018 vol 5 DUR Digest posted.
08/31/2018
October 3rd, 2018 P&T agenda posted.
08/23/2018
September 11th, 2018 DUR Board agenda posted.
08/17/2018
ODM Pharmacy Claims Review Provider Manual July 2018 posted.
08/02/2018
2018 vol 4 DUR Digest posted.
07/03/2018
2018 vol 3 DUR Digest posted.
06/15/2018
July 11, 2018 P&T Agenda posted.
06/01/2018
Updated information regarding July 1st changes posted.
05/29/2018
2018 vol 2 DUR Digest posted.
05/15/2018
February 6th, 2018 DUR Board final meeting minutes posted.
May 8th, 2018 DUR Board draft meeting minutes posted.
Updated MyCare Ohio and MCP Pharmacy Reference Guide posted.
04/24/2018
May 8th, 2018 DUR Board draft meeting minutes posted.
04/18/2018
April 11, 2018 P&T Minutes posted.
03/29/2018
The 2nd Quarter DUR Board Meeting date has been changed to May 8th, 2018 from May 15th, 2018
03/01/2018
Updated information regarding April 1st changes posted.
11/17/2018
November 17th, 2017 DUR Board Final meeting minutes posted.
02/07/2018
February 6th, 2018 DUR Board draft meeting minutes posted.
01/26/2018
February 6th, 2018 DUR Board agenda posted.
01/16/2018
January 10th, 2018 DRAFT P&T meeting minutes posted.
12/28/2017
The 340(B) FAQ was updated in the Pharmacy Billing Information section.
12/27/2017
January 10, 2018 P&T Agenda posted.
11/29/2017
Updates to P&T and DUR Board Membership posted; Information regarding January 1st PA changes posted.
11/9/2017
PDL Effective 1/1/2018 Published.
10/31/2017
The 340(B) FAQ was updated in the Pharmacy Billing Information section.
10/11/2017
October 4th, 2017 P&T meeting minutes posted.
9/1/2017
Updated information regarding October 1st changes posted.
8/11/2017
Drug manufacturers interested in presenting at the October 4th P&T Committee meeting must submit a request to present no later than September 8th. Requests to present can be emailed to PBA_OHMedicaidFFS@changehealthcare.com.
6/2/2017
Information regarding the Coordinated Services Program, and updated pharmacy claims review manual and information regarding 7/1 PDL changes were posted.
5/8/2017
Updated information regarding April 1st changes posted.
3/29/2017
Information regarding the April 1st changes posted.
12/16/2016
The results of the 2016 Professional Dispensing Fee Survey and information on the 2017 Pricing Methodology Changes have been posted.
11/10/2016
Following the P&T meeting, ODM accepted the recommendations of the committee regarding drug placement in preferred and non-preferred positions. The recommendations will be implemented January 1, 2017. The recommendations regarding clinical criteria are under review and will be discussed at a future meeting.
10/19/2016
DUR Board Meeting on November 15, 2016 has been cancelled.
9/22/2016
October 5th P&T Meeting Agenda and Draft PDL posted
8/26/2016
August 31st Stakeholder Meeting
8/17/2016
Information for Manufacturers Interested in Presenting at the October P&T Meeting
6/12/2016
Updated Payer Sheet Information-Effective date 6/12/2016 (E1) (D.0)
6/10/2016
6/3/2016
6/2/2016
6/1/2016
Provider Manual (Download)
5/31/2016
Prior Authorization Forms - Effective Date 6/12/2016 (Standard Prior Authorization form) (Suboxone/Zubsolv Prior Authorization form) (Hepatitis C Direct Acting Antiviral Prior Authorization form) (Synagis Prior Authorization form)
5/26/2016
Updated Payer Sheet Information-Effective date 6/12/2016 (E1) (D.0)
5/24/2016
4/26/2016
Ohio Medicaid Pharmacy Pilot Testing Notification
10/2/2015
The new website has launched. Welcome to Ohio PBM!
Stay up-to-date with information on the
Ohio Medicaid Program with these helpful links:
- Preferred Drug List Updates
- MAC List Updates
- P&T Committee Meetings and Notes
- DUR Board Meetings and Notes
- Testimony and Presentations
- Ohio Medicaid Twitter