March 27, 2026
Effective March 16, 2026, the Medical Assistance Program discontinued coverage of drugs manufactured by Bausch Health US (57782), Fera Pharmaceuticals (48102), and Oceanside Pharmaceuticals (68682) because these manufacturers no longer participate in the Medicaid Drug Program. As a result, their products are no longer eligible for prior authorization.
Medicines Excluded from PDL* |
Preferred Alternatives Available |
Cromolyn sodium spray 5.2/act |
Azelastine 0.1% (137 mcg) Nasal Spray (generic Astelin), Fluticasone Propionate Nasal Spray (Rx), Ipratropium Nasal Spray |
Phospholine solution 0.125% ophthalmic |
Alphagan P 0.1% or 0.15% Drop, Brimonidine 0.2% Drop, Carteolol Drop, Combigan Drop, Dorzolamide Drop, Dorzolamide-Timolol Drop (generic Cosopt) Latanoprost 0.005% Drop, Levobunolol Drops, Simbrinza Drop, Timolol Maleate Drop (generic Timoptic) |
*This list is not inclusive of all drugs manufactured by Bausch Health US, Fera Pharmaceuticals, and Oceanside Pharmaceuticals
For the most current formulary information, please visit HPPlans.com/formularies. For additional assistance, contact our Pharmacy Department at 215‑991‑4300 or Provider Services at 1‑888‑991‑9023 (Monday–Friday, 9 a.m.–5 p.m.).