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Pharmacy prior authorization forms 2025 07/18/2025 05/30/2025 04/18/2025 02/28/2025 01/01/2025

View the formulary lists of prescription drugs covered under vermont blue rx, as well as specialty medications and those requiring prior approval To see the prescription drugs covered under your plan, you will need your id card to help you determine which formulary will apply to you. Vermont medicaid regularly updates its forms and applications to reflect current state and federal requirements This includes, but is not limited to, adjustment forms, refund forms, and/or afiliation request forms.

This guide tells you if a medication is generic or brand, and if special rules apply. The january 2025 medicaid preferred drug list (pdl) is now available This latest update includes significant changes approved during the july and october 2024 drug utilization review board meetings. The pharmacy section will serve to alert providers of policy changes or changes in the formulary that occur on the 1st day of every year and 1st day of july every year.

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Visit this page frequently for important bulletins, alerts and advisories for vermont medicaid enrolled pharmacies

Communications related to the change healthcare outage are marked with an exclamation point (!)

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