Blue Cross Medicaid Formulary 2024. The mississippi division of medicaid (dom)’s universal preferred drug list (pdl) is for all medicaid, mississippican (mscan) and children’s health insurance program (chip). Medicare prescription drug plan documents for 2024 including summary of benefits, evidence of coverage, formulary, and provider directory can be located here.
Prior authorization forms for ffs. The list includes generic or preferred brands to treat many common conditions.
Blue Cross Medicaid Formulary 2024 Images References :