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
May 16, 2011 5-HT1 Agonist (Triptan) Therapy-PDL
Jul 27, 2011 5HT3 Receptor Antagonists-PDL
May 16, 2011 ACE Inhibitors-PDL
May 16, 2011 ACE Inhibitors/Calcium Channel Blocker Combinations-PDL
Mar 24, 2003 Actiq Lozenges
Aug 5, 2010 ADHD Therapy
Jul 07, 2003 Alinia (Nitazoxanide)/antiparasitic/antimicrobial)
May 16, 2011 Alpha-GlucosidaseInhibitors-PDL
May 16, 2011 Alzheimer’s Agents (Cholinesterase Inhibitors) -PDL
Oct 14, 2010 Amylin Analogs-PDL
Dec 19, 2006 Amitiza®
Jul 07, 2011 Ampyra
Jul 20, 2011 Androgen Hormone Inhibitor-PDL
May 16, 2011 Angiotensin II Receptor Blocker Diuretic Combinations-PDL
May 16, 2011 Angiotensin II Receptor Blockers-PDL
Jul 29, 2003 Antibiotic RTU Pack
Jun 22, 2011 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
Oct 14, 2010 Beta Adrenergic Blockers- PDL
Nov 09, 2006 BiDil® Tablets
May 16, 2011 Biguanides-PDL
Jun 27, 2011 Bile Salts Agents-PDL
May 16, 2011 Bone Deossification Suppression Agents - PDL
Jun 10, 2011 Botulinum Toxin Type A (Botox)
Jul 05, 2011 Butorphanol
Oct 14, 2010 Calcium Channel Blockers (DHP)-PDL
Oct 14, 2010 Calcium Channel Blockers (nonDHP)-PDL
Oct 14, 2010 Calcium Channel Blockers/ARBS-PDL
Jul 29, 2003 Cold Sore Treatment Fiscal Edit
Nov 17, 2005 Combunox® Tablets
Jul 20, 2011 COPD Anticholinergics -PDL
Oct 14, 2010 COX-2 Inhibitors -PDL
May 16, 2011 Cryopyrin-Associated Periodic Syndrome (CAPS) Agents-PDL
Jul 20, 2011 Direct Renin Inhibitors -PDL
Jul 20, 2011 Disease-Modifying AntiRheumatic Drug (DMARD) - PDL
Nov 13, 2003 Dolgic LQ® (Acetaminophen/Butalbital/Caffeine)
Oct 14, 2010 DPP-IV Inhibitors-PDL
May 16, 2011 Electrolyte Depleters-PDL
May 16, 2007 Emsam®
Jan 19, 2006 Equetro®
May 16, 2011 Fibromyalgia Agents
Jul 29, 2003 Fluconazole (Diflucan)
May 16, 2011 FluoroQuinolones-Oral-PDL
Jul 28, 2003 Forteo® (teriparatide injection / Parathyroid Hormone)
Jul 07, 2003 Geodon for Injection (ziprasidone mesylate)/Atypical Antipsychotic Agents, Injectible
Oct 14, 2010 GLP-1 Receptor Agonists -PDL
Jul 13, 2010 Growth Hormones-PDL
Jul 07, 2003 H2 Antagonists
Jul 20, 2011 Hematopoietic Agents
Oct 14, 2010 Hepatitis C Therapy-PDL
May 16, 2011 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
Jun 22, 2011 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
Jul 20, 2011 Intranasal Antihistamines-PDL
May 16, 2011 Intranasal Steroids - PDL
May 16, 2011 Intravaginal Antibiotics - PDL
Nov 13, 2003 Klonopin Wafer® (clonazepam)
Nov 07, 2003 Lactulose Step Therapy Edit
May 16, 2011 Leukotriene-PDL
Jul 20, 2011 Low Molecular Weight Anticoagulants
May 16, 2011 Macrolides-PDL
May 16, 2011 Meglintinides - PDL
Aug 25, 2010 Megestrol Acetate
Nov 03, 2004 Methadone
Nov 12, 2009 Miralax
Aug 05, 2011 Multiple Sclerosis Agents-PDL
May 16, 2011 Narcotics, Long Acting - PDL
Feb 02, 2012 Narcotics, Short Acting
Feb 09, 2012 Narcotics, Short Acting Combinations
May 16, 2011 Niacin Preparations - PDL
Jul 20, 2011 Non-Ergot Dopamine Receptor Agonists-PDL
Jan 26, 2012 Non-Oral Contraceptives Fiscal Edit
May 16, 2011 Non-Sedating Antihistamines-PDL
Aug 24, 2010 NSAID Step Therapy Edit
May 03, 2007 Nubain®
Oct 14, 2010 Onychomycosis Antifungal Agents-PDL
Jun 20, 2007 Opana® Immediate-Release Tablets
May 16, 2011 Ophthalmic Antihistamines-PDL
May 16, 2011 Ophthalmic Mast Cell Stabilizers-PDL
Jul 20, 2011 Ophthalmic NSAIDs-PDL
May 16, 2011 Ophthalmic Prostaglandin Agonists PDL
May 16, 2011 Oral AntiDiabetics: Combinations-PDL
May 16, 2011 Otic Quinolones-PDL
Jan 31, 2005 Oxandrin®
June 27, 2011 Pancreatic Enzyme Agents-PDL
Sep 09, 2010 Platelet Inhibitor-PDL
Sep 26, 2005 Prostin VR® Pediatric
Oct 14, 2010 Proton Pump Inhibitor-PDL
Nov 12, 2010 Psychotropic Medications Polypharmacy
Jun 8, 2010 Pulmonary Hypertension Agents-PDL
May 16, 2011 Pulmonary Hypertension Agents (Oral)-PDL
May 16, 2011 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
Oct 14, 2010 Ribavirins - PDL
Jul 20, 2011 Sedative Hypnotics-PDL
Dec 08, 2010 Selective Serotonin Reuptake Inhibitor (SSRI)
May 16, 2011 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)
May 16, 2011 Sulfonylureas-PDL
Sep 16, 2010 Synagis (palivizumab)
May 12, 2006 Tamiflu®
Jul 07, 2003 Thalomid (thalidomide)
May 16, 2011 Thiazolidinediones - PDL
Oct 29, 2007 Tindamax®
Jan 19, 2010 Topical Agents for Psoriasis - PDL
Oct 14, 2010 Topical Androgenic Agents
Jul 20, 2011 Topical Benzoyl Peroxide/Clindamycin Combination
Oct 14, 2010 Topical Immunomodulators - PDL
Jul 20, 2011 Topical Retinoids - PDL
Jul 20, 2011 Tramadol Like Agents-PDL
Jan 16, 2004 Tricyclic Antidepressant Coordination of Care
Jul 20, 2011 TriGlyceride Lower Agents-PDL
May 16, 2011 Ulcerative Colitis Oral Agents-PDL
May 16, 2011 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®