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Michigan Department of Health and Human Services

Providers • Drug Information


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Note: Information about manuals or documents not provided on this Web site may be obtained by calling the Michigan Medicaid state office at 517-335-5161.

Fee For Service Drug Coverage
Fee For Service Drug Coverage Last Modified
Fee For Service Drug Coverage Last Modified
Drug Classes and Products Covered for the MOMS Program 05/01/2018
Drug coverage for PlanFirst! external link
Medicare Dual Eligible Covered NDC List (Effective 01/01/2018) 10/22/2018
Michigan Preferred Drug List - Summary Document (Effective 10/16/2018) 10/31/2018
MPPL Introduction 03/01/2017
MPPL and Coverage Information (Effective 11/01/2018) 11/01/2018
Carveout Coverage
Carveout Coverage Last Modified
Carveout Coverage Last Modified
Medicaid Health Plan Carveout 10/01/2018
Other Drug Information
Other Drug Information Last Modified
Other Drug Information Last Modified
Clinical Alerts external link
Copay Information external link
Criteria for PA: Hepatitis C Agents 09/28/2018
Criteria for PA: Opioid Abuse Treatment 05/31/2018
FAQs for Drug Manufacturers 08/13/2018
Maintenance Drug List 01/10/2008
Quantity Limitation Information 07/16/2018