Iowa Medicaid PDL

Preferred Drug Lists

File Description Date
PDL Effective April 1, 2023 710.19 KB 2023/02/27
File Description Date
Fifteen Day Initial Prescription Supply Limit List Effective April 1, 2023 60.04 KB 2023/02/27
Preferred / Recommended Drug List Effective January 1, 2023 225.87 KB 2022/12/12
Alpha List Effective January 1, 2023 306.39 KB 2022/12/12
Brands Preferred Over Generics Effective January 1, 2023 38.9 KB 2022/11/30
Mental Health Drugs Approved for 7 Day Override 57.38 KB 2011/04/27

Nonprescription Drugs

File Description Date
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category 211.38 KB 2022/11/21

APIs & Excipients

File Description Date
API & Excipients Prescribed Drug List 198.44 KB 2018/02/19

Medicare Part D

File Description Date
Medicare Part D Excluded Drug List 112.56 KB 2019/01/11

Archived PDL Files

File Description Date
PDL Effective January 1, 2023 711.54 KB 2022/11/30
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category 219.15 KB 2022/10/19
Preferred / Recommended Drug List Effective October 1, 2022 219.21 KB 2022/09/13
Alpha List Effective October 1, 2022 289 KB 2022/09/13
PDL Effective October 1, 2022 711.58 KB 2022/08/30
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category 202.94 KB 2022/07/26
PDL Effective August 1, 2022 740.81 KB 2022/06/22
Alpha List Effective June 1, 2022 301.02 KB 2022/05/23
Preferred / Recommended Drug List Effective June 1, 2022 228.77 KB 2022/05/23
PDL Effective June 1, 2022 741.09 KB 2022/05/05
Brands Preferred Over Generics Effective June 1, 2022 41.56 KB 2022/04/22
Alpha List Effective January 1, 2022 299.36 KB 2021/12/08
Preferred / Recommended Drug List Effective January 1, 2022 222.2 KB 2021/12/08
PDL Effective January 1, 2022 726.98 KB 2021/11/30
Brands Preferred Over Generics Effective January 1, 2022 44.71 KB 2021/11/19
PDL Effective October 1, 2021 715.2 KB 2021/08/19
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category. 210.11 KB 2021/07/23
PDL Effective July 1, 2021 695.28 KB 2021/05/24
Preferred / Recommended Drug List Effective June 1, 2021 221.29 KB 2021/05/10
Alpha List Effective June 1, 2021 295.1 KB 2021/05/10
PDL Effective June 1, 2021 696.27 KB 2021/04/26
Brands Preferred Over Generics Effective June 1, 2021 33.77 KB 2021/04/26
Preferred / Recommended Drug List Effective January 1, 2021 226.22 KB 2021/01/06
Preferred / Recommended Drug List Effective January 1, 2021 226.22 KB 2020/12/15
Alpha List Effective January 1, 2021 297.19 KB 2020/12/15
PDL Effective January 1, 2021 710.6 KB 2020/12/02
Brands Preferred Over Generics Effective January 1, 2021 34.23 KB 2020/11/19
PDL Effective November 1, 2020 704.91 KB 2020/09/22
PDL Effective October 1, 2020 710.5 KB 2020/09/01
Brands Preferred Over Generics Effective October 1, 2020 34.07 KB 2020/08/24
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category 270.11 KB 2020/05/29
Brands Preferred Over Generics Effective May 1, 2020 37 KB 2020/04/29
PDL Effective February 1, 2020 686.18 KB 2020/01/27
Alpha List Effective January 1, 2020 302.29 KB 2019/12/24
Preferred / Recommended Drug List Effective January 1, 2020 229.47 KB 2019/12/24
PDL Effective January 1, 2020 687.79 KB 2019/12/05
Brands Preferred Over Generics Effective January 1, 2020 33.36 KB 2019/11/26
Fifteen Day Initial Prescription Supply Limit List Effective January 1, 2020 110.7 KB 2019/11/25
Preferred / Recommended Drug List Effective October 1, 2019 214.5 KB 2019/08/28
Alpha List Effective October 1, 2019 287.22 KB 2019/08/28
PDL Effective October 1, 2019 686.55 KB 2019/08/28
Brands Preferred Over Generics Effective October 1, 2019 78.08 KB 2019/08/26
Alpha List Effective June 1, 2019 286.66 KB 2019/05/03
Preferred / Recommended Drug List Effective June 1, 2019 214.38 KB 2019/05/03
PDL Effective June 1, 2019 681.59 KB 2019/05/02
Fifteen Day Initial Prescription Supply Limit List Effective June 1, 2019 81.11 KB 2019/05/01
Brands Preferred Over Generics Effective June 1, 2019 79.55 KB 2019/04/30
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category 279.84 KB 2019/04/23
Preferred / Recommended Drug List Effective January 1, 2019 215.36 KB 2018/12/17
Alpha List Effective January 1, 2019 663.2 KB 2018/12/17
PDL Effective January 1, 2019 673.56 KB 2018/11/26
Brands Preferred Over Generics Effective January 1, 2019 79.36 KB 2018/11/21
Preferred / Recommended Drug List Effective October 1, 2018 214.42 KB 2018/09/13
Alpha List Effective October 1, 2018 591.04 KB 2018/09/13
Brands Preferred Over Generics Effective October 1, 2018 78.31 KB 2018/08/30
PDL Effective October 1, 2018 670.33 KB 2018/08/30
Preferred / Recommended Drug List Effective June 1, 2018 214.15 KB 2018/05/14
Alpha List Effective June 1, 2018 281.74 KB 2018/05/11
Brands Preferred Over Generics Effective June 1, 2018 77.17 KB 2018/04/26
PDL Effective June 1, 2018 396.39 KB 2018/04/26
Fifteen Day Initial Prescription Supply Limit List Effective June 1, 2018 75.28 KB 2018/04/26
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category 237.56 KB 2018/02/19
PDL Effective January 12, 2018 670.43 KB 2018/01/25
Medicare Part D Excluded Drug List 107.26 KB 2018/01/08
Alpha List Effective January 1, 2018 280.48 KB 2017/12/01
Preferred / Recommended Drug List Effective January 1, 2018 214.25 KB 2017/12/01
PDL Effective January 1, 2018 669.52 KB 2017/11/28
Brands Preferred Over Generics Effective January 1, 2018 23.92 KB 2017/11/28
Alpha List Effective October 1, 2017 277.6 KB 2017/09/14
Preferred / Recommended Drug List Effective October 1, 2017 214.04 KB 2017/09/14
PDL Effective October 1, 2017 664.89 KB 2017/09/06
PDL Effective October 1, 2017 664.89 KB 2017/08/30
Brands Preferred Over Generics Effective October 1, 2017 24.17 KB 2017/08/25
Nonprescription Drug List by NDC 159.24 KB 2017/08/18
Alpha List Effective June 1, 2017 569.27 KB 2017/05/22
Preferred / Recommended Drug List Effective June 1, 2017 214.81 KB 2017/05/22
PDL Effective June 1, 2017 659.59 KB 2017/05/01
Brands Preferred Over Generics Effective June 1, 2017 26.77 KB 2017/05/01
Preferred / Recommended Drug List Effective January 13, 2017 214.99 KB 2017/01/12
Alpha List Effective January 13, 2017 569.75 KB 2017/01/12
PDL Effective January 13, 2017 388.29 KB 2017/01/11
PDL Effective January 1, 2017 655.95 KB 2016/11/30
Alpha List Effective January 1, 2017 566.11 KB 2016/11/30
Preferred / Recommended Drug List Effective January 1, 2017 214.65 KB 2016/11/30
Brands Preferred Over Generics Effective January 1, 2017 25.9 KB 2016/11/22
Non-Drug Product List Effective January 1, 2017 36.7 KB 2016/11/22
Preferred / Recommended Drug List Effective October 1, 2016 214.31 KB 2016/09/16
Alpha List Effective October 1, 2016 562.82 KB 2016/09/16
PDL Effective October 1, 2016 648.62 KB 2016/09/09
PDL Effective October 1, 2016 649.07 KB 2016/08/30
Nonprescription Drug List by NDC 158.04 KB 2016/08/29
Brands Preferred Over Generics Effective October 1, 2016 26.35 KB 2016/08/25
PDL Effective June 1, 2016 636.94 KB 2016/06/02
PDL Effective June 1, 2016 636.94 KB 2016/06/01
Alpha List Effective June 1, 2016 564.38 KB 2016/05/02
Brands Preferred Over Generics Effective June 1, 2016 24.25 KB 2016/05/02
PDL Effective June 1, 2016 635.34 KB 2016/05/02
Preferred / Recommended Drug List Effective June 1, 2016 214.86 KB 2016/05/02
Preferred / Recommended Drug List Effective January 1, 2016 214.95 KB 2015/12/17
Alpha List Effective January 1, 2016 556.47 KB 2015/12/16
PDL Effective January 1, 2016 629.42 KB 2015/12/10
PDL Effective January 1, 2016 629.57 KB 2015/12/01
Brands Preferred Over Generics Effective January 1, 2016 24.12 KB 2015/11/30
Nonprescription Drug List by NDC 156.7 KB 2015/10/19
Alpha List Effective October 1, 2015 550.29 KB 2015/09/29
Preferred / Recommended Drug List Effective October 1, 2015 214.71 KB 2015/09/29
PDL Effective October 1, 2015 593.82 KB 2015/09/08
Brands Preferred Over Generics Effective October 1, 2015 27.58 KB 2015/09/02
Brands Preferred Over Generics Effective June 1, 2015 27.63 KB 2015/04/23
Fifteen Day Initial Prescription Supply Limit List Effective June 1, 2015 21.89 KB 2015/04/23
PDL Effective June 1, 2015 590.21 KB 2015/04/23
PDL Effective January 23, 2015 584.54 KB 2015/01/08
PDL Effective January 1, 2015 610.4 KB 2014/12/17
Preferred / Recommended Drug List Effective January 1, 2015 218.64 KB 2014/12/04
Alpha List Effective January 1, 2015 549.25 KB 2014/12/04
Brands Preferred Over Generics Effective January 1, 2015 24.73 KB 2014/12/01
PDL Effective January 1, 2015 611.05 KB 2014/11/25
Non-Drug Product List Effective January 1, 2015 12.64 KB 2014/11/24
Fifteen Day Initial Prescription Supply Limit List Effective January 1, 2015 20.94 KB 2014/11/24
Nonprescription Drug List by NDC 160.96 KB 2014/11/06
Alpha List Effective October, 1, 2014 546.01 KB 2014/10/16
PDL Effective October 1, 2014 583.82 KB 2014/09/04
Brands Preferred Over Generics Effective October 1, 2014 21.94 KB 2014/08/22
Non-Drug Product List Effective July 16, 2014 12.68 KB 2014/07/16
PDL Effective July 21, 2014 590.85 KB 2014/06/18
Preferred / Recommended Drug List Effective June 1, 2014. 250.63 KB 2014/05/27
Alpha List Effective June 1, 2014 541.49 KB 2014/05/13
Brands Preferred Over Generics Effective June 1, 2014 21.95 KB 2014/05/06
PDL Effective June 1, 2014 579.21 KB 2014/05/05
PDL Effective June 1, 2014 579.21 KB 2014/05/01
Medicare Part D Excluded Drug List 39.02 KB 2014/01/21
Alpha List Effective January 1, 2014 246.9 KB 2013/12/04
Preferred / Recommended Drug List Effective January 1, 2014 235.48 KB 2013/12/04
PDL Effective January 1, 2014 597.65 KB 2013/12/02
Non-Drug Product List Effective November 15, 2013 12.13 KB 2013/11/15
Medicare Part D Excluded Drug List 107.92 KB 2013/09/30
Medicare Part D Excluded Drug List 25.89 KB 2013/09/27
Preferred/Recommended Drug List Effective October 1, 2013 235.22 KB 2013/09/10
Alpha List Effective October 1, 2013 244.08 KB 2013/09/10
Brands Preferred Over Generics Effective October 1, 2013 70.59 KB 2013/09/05
PDL Effective October 1, 2013 405.72 KB 2013/09/03
Non-Drug Product List Effective February 1, 2013 30.76 KB 2013/07/10
Fifteen Day Initial Prescription Supply Limit List Effective July 1, 2013 97.61 KB 2013/05/21
PDL Effective May 1, 2013 385.68 KB 2013/05/13
PDL Effective May 1, 2013 386.83 KB 2013/05/10
PDL Effective May 1, 2013 386.93 KB 2013/05/09
Brands Preferred Over Generics Effective May 3, 2013 21.6 KB 2013/05/07
PDL Effective May 1, 2013 387.11 KB 2013/05/02
PDL Effective May 1, 2013 598.13 KB 2013/04/03
Alpha List Effective May 1, 2013 246.82 KB 2013/04/01
Preferred / Recommended Drug List Effective May 1, 2013 224.36 KB 2013/04/01
Brands Preferred Over Generics Effective May 1, 2013 21.6 KB 2013/03/18
Nonprescription Drug List by NDC 162.8 KB 2013/02/20
Non-Drug Product List Effective February 1, 2013 12.12 KB 2013/01/30
Nonprescription Drug List by NDC 161.22 KB 2013/01/30
Preferred/Recommended Drug List Effective January 1, 2013 219.73 KB 2012/12/11
PDL Effective January 1, 2013 587.84 KB 2012/11/30
PDL Effective January 1, 2013 379.1 KB 2012/11/27
Medicare Part D Excluded Drug List 39.97 KB 2012/11/15
Brands Preferred Over Generics Effective January 1, 2013 27.84 KB 2012/11/14
Non-Drug Product List 12.61 KB 2012/10/30
PDL Effective October 22, 2012 551.12 KB 2012/09/14
Brands Preferred Over Generics Effective October 22, 2012 24.02 KB 2012/09/14
Alpha List Effective October 22, 2012 231.1 KB 2012/09/14
Non-Drug Product List 12.59 KB 2012/08/20
Alpha List Effective July 30, 2012 231 KB 2012/06/28
Preferred / Recommended Drug List Effective July 30, 2012 217.55 KB 2012/06/28
Brands Preferred Over Generics Effective July 30, 2012 25.38 KB 2012/06/28
PDL Effective July 30, 2012 360.69 KB 2012/06/27
Preferred / Recommended Drug List Effective April 9, 2012 217.26 KB 2012/03/29
Alpha List Effective April 9, 2012 233.82 KB 2012/03/29
Brands Preferred Over Generics Effective April 9, 2012 21.97 KB 2012/03/22
PDL Effective April 9, 2012 362.28 KB 2012/03/21
Non Drug Product List 12.59 KB 2012/03/20
Medicare Part D Excluded Drug List 20.48 KB 2012/03/20
PDL Effective January 1, 2012 552.07 KB 2012/01/05
PDL Effective January 1, 2012 359.49 KB 2012/01/05
Nonprescription Drug List by NDC 153.14 KB 2011/12/28
Nonprescription Drug List by NDC 156.03 KB 2011/12/28
Preferred / Recommended Drug List Effective January 1, 2012 220.34 KB 2011/12/13
Alpha List Effective January 1, 2012 229.15 KB 2011/12/13
Brands Preferred Over Generics Effective January 1, 2012 18.43 KB 2011/12/06
Nonpresription Drugs Maximum Allowable Cost (MAC) List 65.11 KB 2011/12/05
Brands Preferred Over Generics Effective October 24, 2011 18.76 KB 2011/12/05
Nonpresription Drugs Maximum Allowable Cost (MAC) List 100.53 KB 2011/12/05
Fifteen Day Initial Prescription Supply Limit List 17.7 KB 2011/11/23
Nonprescription Drug List by Therapeutic Category 61.76 KB 2011/11/09
Nonprescription Drug List by Therapeutic Category 60.56 KB 2011/11/09
Non-Drug Product List 12.58 KB 2011/11/08
Fifteen Day Initial Prescription Supply Limit List 17.69 KB 2011/10/12
Fifteen Day Initial Prescription Supply Limit List 17.98 KB 2011/09/16
Fifteen Day Initial Prescription Supply Limit List 104.56 KB 2011/09/14
Alpha List Effective October 24, 2011 231.37 KB 2011/09/14
PDL Effective October 24, 2011 553.98 KB 2011/09/13
Fifteen Day Initial Prescription Supply Limit List 17.67 KB 2011/09/12
PDL Effective September 1, 2011 923.84 KB 2011/08/08
Fifteen Day Initial Prescription Supply Limit List 87.73 KB 2011/08/02
Medicare Part D Excluded Drug List 19.14 KB 2011/07/13
Preferred/Recommended Drug List Effective July 18, 2011 220.15 KB 2011/07/08
Alpha List Effective July 18, 2011 230.69 KB 2011/07/08
PDL Effective July 18, 2011 895.14 KB 2011/06/28
Brands Preferred Over Generics Effective July 18, 2011 15.48 KB 2011/06/27
Mental Health Drugs Approved for 7 Day Override 57.38 KB 2011/04/27
Preferred/Recommended Drug List Effective April 25, 2011 216.53 KB 2011/04/15
Alpha List Effective April 25, 2011 231.93 KB 2011/04/15
PDL Effective April 25, 2011 551.9 KB 2011/03/31
Brands Preferred Over Generics Effective April 25, 2011 15.81 KB 2011/03/21
Brands Preferred Over Generics Effective January 1, 2011 15.77 KB 2011/03/21
Nonprescription Drug List by Therapeutic Category 60.74 KB 2011/02/22
Non-Drug Product List 15.05 KB 2011/02/17
Non-Drug Product List 14.95 KB 2011/02/17
Nonprescription Drug List by NDC 152.86 KB 2011/02/16
PDL Effective January 1, 2011 390.96 KB 2011/02/07
PDL Effective January 1, 2011 548.38 KB 2011/02/07
Preferred Venlafaxine ER Tablets by NDC 56.82 KB 2011/01/04
PDL Effective January 1, 2011 391.84 KB 2010/12/28
Alpha List Effective January 1, 2011 343.79 KB 2010/12/28
Preferred/Recommended Drug List Effective January 1, 2011 612.81 KB 2010/12/28
Nonprescription Drug Maximum Allowable Cost (MAC) List 101.13 KB 2010/12/10
Nonprescription Drug Maximum Allowable Cost (MAC) Pricing Breakdown List 101.13 KB 2010/12/10
Nonprescription Drug Maximum Allowable Cost (MAC) Pricing Breakdown List 95.69 KB 2010/11/24
Preferred / Recommended Drug List Effective October 18, 2010 251.41 KB 2010/10/13
Alpha List Effective October 18, 2010 290.64 KB 2010/10/13
Brands Preferred Over Generics Effective October 18, 2010 15.79 KB 2010/10/05
PDL Effective October 18, 2010 396.06 KB 2010/10/04
Preferred Cough and Cold Products (NDC Listing) 101.58 KB 2010/07/28
Alpha List Effective January 1, 2010 294.34 KB 2010/07/20
Preferred / Recommended Drug List Effective May 24, 2010 248.39 KB 2010/06/29
OTC by Therapeutic Category 63.96 KB 2010/05/28
Brands Preferred Over Generics Effective May 24, 2010 16.79 KB 2010/05/11
PDL Effective May 24, 2010 378.38 KB 2010/05/07
PDL Effective April 5, 2010 373.54 KB 2010/03/01
OTC Payable List by NDC 177.53 KB 2010/02/26
Nonprescription Drug Maximum Allowable Cost (MAC) List 91.19 KB 2010/02/17
Nonprescription Drug Maximum Allowable Cost (MAC) List 90.45 KB 2010/02/17
Nonprescription Drug Maximum Allowable Cost (MAC) List 35.84 KB 2010/01/07
Nonprescription Drug Maximum Allowable Cost (MAC) List 117.19 KB 2010/01/07
Nonprescription Drug Maximum Allowable Cost (MAC) List 115.36 KB 2010/01/07
PDL Effective November 1, 2009 370.63 KB 2010/01/07
Nonprescription Drug Maximum Allowable Cost (MAC) List 90.94 KB 2010/01/07
Nonprescription Drug Maximum Allowable Cost (MAC) List 117.07 KB 2010/01/07
Nonprescription Drug Maximum Allowable Cost (MAC) List 39.11 KB 2010/01/07
PDL Effective January 1, 2010 382.46 KB 2009/12/31
PDL Effective January 1, 2010 382.51 KB 2009/12/31
OTC by Therapeutic Category 64.16 KB 2009/12/09
Preferred/Recommended Drug List Effective January 1, 2010 358.77 KB 2009/12/04
Medicare Part D Excluded Drug List 23.5 KB 2009/12/01
Medicare Part D Excluded Drug List 21.64 KB 2009/12/01
Brands Preferred Over Generics Effective January 1, 2010 17.71 KB 2009/11/30
PDL Effective January 1, 2010 382.53 KB 2009/11/30
OTC Payable List by NDC 182.41 KB 2009/11/05
OTC by Therapeutic Category 61.2 KB 2009/11/05
PDL Effective November 1, 2009 393.17 KB 2009/09/29
Medicare Part D Excluded Drug List 21.42 KB 2009/09/29
OTC Payable List by NDC 180.95 KB 2009/09/29
PDL Effective 08-14-09 389.99 KB 2009/08/10
Alpha List Effective 01/01/09 304.74 KB 2009/08/03
Alpha List Effective 08/14/09 306.23 KB 2009/08/03
PDL Effective August 3, 2009 390.91 KB 2009/07/22
Brands Preferred Over Generics Effective August 3, 2009 18.87 KB 2009/07/06
Brands Preferred Over Generics Effective June 15, 2009 18.96 KB 2009/06/30
Draft RDL from the November 13, 2008 P&T Committee Meeting 132.22 KB 2009/05/07
PDL Effective June 15, 2009 359.58 KB 2009/05/07
PDL Effective May 8, 2009 362.19 KB 2009/05/07
PDL Effective 4/20/09 362.77 KB 2009/03/25
Brands Preferred over Generics Effective 04/20/09 19.1 KB 2009/03/17
Brands Preferred over Generics Effective 02/04/09 19.16 KB 2009/03/17
PDL Effective 2/04/09 359.77 KB 2009/02/03
PDL Effective 2/04/09 359.77 KB 2009/01/29
PDL with Table of Contents Effective 01/01/09 1.26 MB 2008/12/22
Preferred/Recommended drug List Effective 01/01/09 271.65 KB 2008/12/22
PDL Effective 01/01/09 360.29 KB 2008/12/19
Alpha List Effective 10-27-08 293.65 KB 2008/10/21
Brands Preferred over Generics 10-27-08 18.57 KB 2008/10/16
Brands Preferred over Generics 07-28-08 (copy) 18.42 KB 2008/10/16
PDL Effective 10/27/08 373.69 KB 2008/10/06
Alpha List Effective 07/28/08 302.57 KB 2008/07/22
PDL Effective 07/28/08 385.43 KB 2008/07/22
OTC Payable List by NDC 174.1 KB 2008/07/03
OTC Payable List by NDC (copy) 198.18 KB 2008/07/03
PDL Effective 05/19/08 507.82 KB 2008/05/14
PDL Effective 02-18-08 509 KB 2008/04/16
PDL Effective 02-18-08 521.36 KB 2008/04/16
PDL Effective 04-30-08 509 KB 2008/04/16
Brands Preferred over Generics 01/01/08 18.15 KB 2008/04/07
Brands Preferred over Generics 04/21/08 18.75 KB 2008/04/07
OTC Drug List by Therapeutic Category 20.87 KB 2008/02/20
PDL Effective 01/01/08 524.69 KB 2008/01/15
Alpha List Effective 01/01/08 296.67 KB 2008/01/15
PDL Effective 10-29-07 509.69 KB 2007/12/21
Preferred Cough & Cold Products (NDC Listing) (copy) 126.15 KB 2007/11/20
Preferred Cough & Cold Products (NDC Listing) 125.03 KB 2007/11/20
Brands Preferred over Generics 10-29-07 18.64 KB 2007/10/03
OTC Drug List 21.09 KB 2007/09/18
OTC Payable List by NDC (01/01/07) 238.03 KB 2007/08/31
Alpha List 7-30-07 290.16 KB 2007/07/16
PDL Effective 7-30-07 501.11 KB 2007/07/16
Brands Preferred over Generics 07-30-07 18.61 KB 2007/07/16
Brands Preferred over Generics 03-07 113.47 KB 2007/05/02
Brands Preferred over Generics 44.22 KB 2007/05/02
Alpha List Effective 04-23-07 299.28 KB 2007/04/24
PDL Effective 4-23-07 501.21 KB 2007/04/24
Medicare Part D Excluded Drug List 25.38 KB 2007/04/12
OTC Drug List 144.19 KB 2007/04/12
PDL Effective 01-01-07 385.67 KB 2007/01/19
Alpha List Effective 01-01-07 285.45 KB 2007/01/19
Brands Preferred over Generics 1-06 37.17 KB 2006/12/22
Preferred Cough & Cold Products (NDC Listing) 127.7 KB 2006/12/22
OTC Payable List by NDC 240.14 KB 2006/12/14
OTC Drug List 140.61 KB 2006/12/14
PDL Effective 6-20-2005 499.52 KB 2006/10/27
PDL Effective 10-30-06 372.21 KB 2006/10/04
PDL Effective 12-23-2004 407.23 KB 2006/09/25
PDL Effective 7-17-06 372.08 KB 2006/07/05
PDL Effective 5-22-2006 366.36 KB 2006/05/25
PDL Effective 5-1-06 366.84 KB 2006/04/07
PDL Effective 02-18-06 361.78 KB 2006/02/07
PDL Effective 01-16-06 509.13 KB 2005/12/20
PDL Update - 11/16/2005 502.07 KB Cilostazol now preferred 2005/11/22
Preferred / Recommended Drug List 98.25 KB 2005/08/01
PDL - One Column Version 168.58 KB 2005/02/24

Draft PDL Files

* Disclaimer: This is a draft list and subject to change. Some items listed are not currently covered by Iowa Medicaid PDL and may not be on the final Iowa Medicaid PDL.

File Description Date
Draft PDL for 6-12-08 P&T Committee Meeting 910.37 KB 2008/06/05
Draft PDL 3-13-08 375.09 KB 2008/04/16
Draft PDL 11-8-07 393.66 KB 2007/12/21
Draft PDL 06-14-07 507.32 KB 2007/05/22
Draft PDL for the November 9, 2006 P & T Committee Meeting 373.28 KB 2007/04/13
Draft PDL for the November 9, 2006 P & T Committee Meeting 373.12 KB 2007/04/13
Draft PDL 3-8-07 386.75 KB 2007/02/06
Draft PDL For September 14th P & T Committee Meeting 375.99 KB 2006/08/09
Draft PDL for June 8th P&T Committee Meeting 368.18 KB 2006/05/18
Draft PDL for March 9, 2006 P & T Committee Meeting 361.8 KB 2006/03/22
2nd DRAFT PDL for the December P & T Meeting 503.06 KB 2005/12/07
DRAFT IOWA DHS Approved PDL 12/17/2004 410.54 KB 2004/12/17
IOWA DHS Approved PDL Revised as of 11/24/2004: Only Revision is KETEK 214.67 KB NOTE: ONLY REVISION IS KETEK 2004/11/24
* DRAFT DHS IOWA Recommended Drug List for 12/2/2004 P&T Meeting 129.06 KB 2004/11/24
* DRAFT DHS IOWA Preferred Drug List - DRAFT 3 232.69 KB 2004/10/20
* DRAFT DHS IOWA Preferred Drug List 262.42 KB 2004/09/10
* DRAFT DHS Staff-Recommended Drug List (RDL) 30.27 KB 2004/08/27

Other Misc. Archived Files Applicable to the PDL

File Description Date
Nonpresciption Drug Maximum Allowable Cost (MAC) List 66.59 KB 2010/01/07
Nonpresciption Drug Maximum Allowable Cost (MAC) List 67.25 KB 2010/01/07
Nonprescription Drug Maximum Allowable Cost (MAC) List 19.14 KB 2010/01/07
Nonprescription Drug Maximum Allowable Cost(MAC) List 91 KB 2010/01/07
Nonprescription Drug Maximum Allowable Cost (MAC) List 52.92 KB 2010/01/07
Alpha List Effective 7/17/06 280.78 KB 2006/10/19
OTC Payable List by NDC 241.76 KB 2006/10/19
Alpha List 297.87 KB 2006/10/19
OTC Drug List (05.08.2006) 142.52 KB 2006/06/28
Medicare Part D Excluded Drug List 83.76 KB 2006/05/23
Alpha List 506.39 KB 2005/11/03
OTC Rebatable List 384.47 KB 2005/07/18
Brands Preferred over Generics 37.47 KB 2005/06/23
Grandfather Drug List 20.09 KB 2005/02/24
Final Recommended Drug List 28.62 KB 2005/02/24
Calcium Channel Blockers 36.52 KB 2005/02/24
Alpha Drug List 206.2 KB 2005/02/24