Pharmacy and Drug Formularies

Providing DMAS service providers, other DMAS business associates and special interest groups with general knowledge of pharmaceutical programs being implemented and to serve as a reference guide for any pharmacy initiatives. This is a reference site for the Preferred Drug List and Prior Authorization Programs, as well as for information on upcoming changes.

Pharmacy Program Information

• DMAS Pharmacist as Providers Educational Session Materials
• DMAS Pharmacists as Providers FAQs
• Pharmacy Benefit Administration Frequently Asked Questions
• Provider Training For New Pharmacy Benefit Administrator
• Virginia Medicaid NCPDP Version D.0 Claim Billing Or Re Bill D.0 Payer Specifications
• DMAS 340B Frequently Asked Questions
• Pharmacy and Therapeutics Committee
• Drug Utilization Review Program
• Pharmacy Provider Manual
• Health Plan Rx BIN and PCN Numbers

Common Core Formulary and Fee-For-Service Preferred Drug List Information

• Preferred Drug List/Common Core Formulary
• Service Authorizations
• Drug Search
• Virginia Medicaid Preferred Drug List and Common Core Formulary (CCF)
• Fee-for-Service and CCF Service Authorizations
• Fee-for-Service Drug Lookup Tool

Managed Care Drug Formularies

Virginia Medicaid’s Preferred Drug List (PDL)/ Common Core Formulary

• Virginia Medicaid Preferred Drug List (PDL) Fee-for-Service
• Aetna Better Health of Virginia
• Anthem Healthkeepers Plus
• Molina Complete Care
• Sentara Community Plan
• UnitedHealthcare Community Plan of Virginia

Pharmacy Liaison Committee