Missouri Pharmacy Clinical Edits and Preferred Drug Lists

MO HealthNet is continuing the state specific Preferred Drug List and Clinical Edit processes. The following is a listing of therapeutic classes that have been implemented. Please see the implementation schedule for proposed implementation dates for additional classes.

Table of clinical edit documents listed by issue date and description. The description is linked to the file. All files are in PDF.
Issue Date Pharmacy Clinical Edit and PDL Description
Jun 05, 2009 15 Day Limitation
Apr 16, 2012 5-HT1 Agonist (Triptan) Therapy-PDL
Jul 27, 2011 5HT3 Receptor Antagonists-PDL
Apr 16, 2012 ACE Inhibitors-PDL
Apr 16, 2012 ACE Inhibitors/Calcium Channel Blocker Combinations-PDL
Mar 24, 2003 Actiq Lozenges
Aug 5, 2010 ADHD Therapy
Jul 07, 2003 Alinia (Nitazoxanide)/antiparasitic/antimicrobial)
Apr 16, 2012 Alpha-GlucosidaseInhibitors-PDL
Apr 16, 2012 Alzheimer’s Agents (Cholinesterase Inhibitors) -PDL
Apr 10, 2012 Amylin Analogs-PDL
Dec 19, 2006 Amitiza®
Jul 07, 2011 Ampyra
Jul 20, 2011 Androgen Hormone Inhibitor-PDL
Apr 16, 2012 Angiotensin II Receptor Blocker Diuretic Combinations-PDL
Apr 16, 2012 Angiotensin II Receptor Blockers-PDL
Apr 16, 2012 Antihyperuricemic Agents-PDL
Oct 21, 2010 Atypical Antipsychotics
Jul 20, 2011 Beta Adrenergic Agents Long Acting - PDL
Jul 20, 2011 Beta Adrenergic Agents Short Acting - PDL
Jul 20, 2011 Beta Adrenergic Agents/Nebulized - PDL
Apr 10, 2012 Beta Adrenergic Blockers- PDL
Nov 09, 2006 BiDil® Tablets
Apr 16, 2012 Biguanides-PDL
Apr 16, 2012 Bile Salts Agents-PDL
Apr 16, 2012 Bone Deossification Suppression Agents - PDL
Jun 10, 2011 Botulinum Toxin Type A (Botox)
Jul 05, 2011 Butorphanol
Apr 10, 2012 Calcium Channel Blockers (DHP)-PDL
Apr 10, 2012 Calcium Channel Blockers (nonDHP)-PDL
Apr 10, 2012 Calcium Channel Blockers/ARBS-PDL
Jul 29, 2003 Cold Sore Treatment Fiscal Edit
Nov 17, 2005 Combunox® Tablets
Jul 20, 2011 COPD Anticholinergics -PDL
Apr 10, 2012 COX-2 Inhibitors -PDL
Apr 16, 2012 Cryopyrin-Associated Periodic Syndrome (CAPS) Agents-PDL
Apr 16, 2012 Direct Renin Inhibitors -PDL
Apr 16, 2012 Disease-Modifying AntiRheumatic Drug (DMARD) - PDL
Nov 13, 2003 Dolgic LQ® (Acetaminophen/Butalbital/Caffeine)
Apr 10, 2012 DPP-IV Inhibitors-PDL
Apr 16, 2012 Electrolyte Depleters-PDL
May 16, 2007 Emsam®
Jan 19, 2006 Equetro®
Apr 16, 2012 Fibromyalgia Agents
Jul 29, 2003 Fluconazole (Diflucan)
Apr 16, 2012 FluoroQuinolones-Oral-PDL
Jul 28, 2003 Forteo® (teriparatide injection / Parathyroid Hormone)
Jul 07, 2003 Geodon for Injection (ziprasidone mesylate)/Atypical Antipsychotic Agents, Injectible
Apr 10, 2012 GLP-1 Receptor Agonists -PDL
Jul 13, 2010 Growth Hormones-PDL
Jul 07, 2003 H2 Antagonists
Jul 20, 2011 Hematopoietic Agents
Apr 10, 2012 Hepatitis C Therapy-PDL
Apr 16, 2012 Herpes Antivirals-PDL
Jul 20, 2011 HMG-Co A reductase inhibitors (statins) -PDL
Dec 11, 2003 H-Pylori Therapy
Jul 07, 2011 Human Papillomavirus Vaccines
Apr 16, 2012 Inhaled Antibiotics-PDL
Feb 28, 2011 Inhaled Corticosteroids - PDL
Jul 20, 2011 Insulin Mix-PDL
Jul 20, 2011 Insulin Rapid Acting-PDL
Jul 20, 2011 Insulins-PDL
Jul 20, 2011 Insulins Long Acting-PDL
Apr 16, 2012 Intranasal Antihistamines-PDL
Apr 16, 2012 Intranasal Steroids - PDL
Apr 16, 2012 Intravaginal Antibiotics - PDL
Nov 13, 2003 Klonopin Wafer® (clonazepam)
Nov 07, 2003 Lactulose Step Therapy Edit
Apr 16, 2012 Leukotriene-PDL
Jul 20, 2011 Low Molecular Weight Anticoagulants
Apr 16, 2012 Macrolides-PDL
Apr 16, 2012 Meglintinides - PDL
Aug 25, 2010 Megestrol Acetate
Nov 03, 2004 Methadone
Apr 16, 2012 Multiple Sclerosis Agents-PDL
Apr 16, 2012 Narcotics, Long Acting - PDL
Apr 13, 2012 Narcotics, Short Acting
Feb 09, 2012 Narcotics, Short Acting Combinations
Apr 16, 2012 Niacin Preparations - PDL
Jul 20, 2011 Non-Ergot Dopamine Receptor Agonists-PDL
Jan 26, 2012 Non-Oral Contraceptives Fiscal Edit
Apr 16, 2012 Non-Sedating Antihistamines-PDL
Aug 24, 2010 NSAID Step Therapy Edit
May 03, 2007 Nubain®
Apr 10, 2012 Onychomycosis Antifungal Agents-PDL
Jun 20, 2007 Opana® Immediate-Release Tablets
Apr 16, 2012 Ophthalmic Antihistamines-PDL
Apr 16, 2012 Ophthalmic Mast Cell Stabilizers-PDL
Jul 20, 2011 Ophthalmic NSAIDs-PDL
Apr 16, 2012 Ophthalmic Prostaglandin Agonists PDL
Apr 16, 2012 Oral AntiDiabetics: Combinations-PDL
Apr 16, 2012 Otic Quinolones-PDL
Jan 31, 2005 Oxandrin®
Apr 16, 2012 Pancreatic Enzyme Agents-PDL
Sep 09, 2010 Platelet Inhibitor-PDL
Sep 26, 2005 Prostin VR® Pediatric
Apr 10, 2012 Proton Pump Inhibitor-PDL
Nov 12, 2010 Psychotropic Medications Polypharmacy
Apr 16, 2012 Pulmonary Hypertension Agents-PDL
Apr 16, 2012 Pulmonary Hypertension Agents (Oral)-PDL
Apr 16, 2012 Quinolone Ophthalmic Antibiotic-PDL
Jul 07, 2011 Ranexa®
Jan 12, 2005 Raniclor™
Dec 23, 2004 Raptiva
Jun 22, 2005 Retinoic Acid Products/Retinoid Analogues - Topical
Apr 10, 2012 Ribavirins - PDL
Jul 20, 2011 Sedative Hypnotics-PDL
Dec 08, 2010 Selective Serotonin Reuptake Inhibitor (SSRI)
Apr 16, 2012 Self Injecting Epinephrine Agents
Jul 07, 2011 Selzentry® (Maraviroc)
Nov 18, 2010 Serotonin-Norepinephrine Reuptake Inhibitors (SNRI)
Sep 08, 2010 Skeletal Muscle
Feb 25, 2011 Smoking Cessation
Jun 20, 2011 Suboxone
Jul 29, 2003 Sucralfate (Carafate)
Apr 16, 2012 Sulfonylureas-PDL
Sep 16, 2010 Synagis (palivizumab)
May 12, 2006 Tamiflu®
Jul 07, 2003 Thalomid (thalidomide)
Apr 16, 2012 Thiazolidinediones - PDL
Oct 29, 2007 Tindamax®
Apr 16, 2012 Topical Agents for Psoriasis - PDL
Apr 10, 2012 Topical Androgenic Agents
Jul 20, 2011 Topical Benzoyl Peroxide/Clindamycin Combination
Apr 10, 2012 Topical Immunomodulators - PDL
Apr 16, 2012 Topical Retinoids - PDL
Apr 16, 2012 Tramadol Like Agents-PDL
Jan 16, 2004 Tricyclic Antidepressant Coordination of Care
Jul 20, 2011 TriGlyceride Lower Agents-PDL
Apr 16, 2012 Ulcerative Colitis Oral Agents-PDL
Apr 16, 2012 Ulcerative Colitis-Rectal-PDL
Jul 20, 2011 Urinary Tract Antispasmodics - PDL
Apr 15, 2009 Vivitrol ®
Mar 07, 2003 Voriconazole (Vfend) / Antifungal
Nov 13, 2003 Xanax XR® (Alprazolam)
Dec 30, 2009 Xolair
Nov 13, 2003 Zometa® (zoledronic acid)
Apr 11, 2007 Zostavax Injection
Jan 13, 2005 Zyprexa IM®