MedicaidPrior AuthMedium impact
MAB2024111304
Pennsylvania Medicaid (DHS)·PA·Provider Bulletin
Effective date
Jan 6, 2025
We identified it
Jun 20, 2026
Summary
Pennsylvania's Statewide Preferred Drug List (PDL) will be updated effective January 6, 2025, changing preferred and non-preferred status of medications, adding new quantity limits, and updating prior authorization guidelines. This affects all Pennsylvania Medical Assistance providers including pharmacies and prescribers.
Action Required
By January 6, 2025: All Pennsylvania providers must review the updated Statewide PDL at https://papdl.com/preferred-drug-list to identify changes in preferred/non-preferred drug status and new quantity limits. Update internal pharmacy references and prior authorization workflows. Monitor for separate MA Bulletins with new prior authorization guidelines. For managed care patients, verify MCO-specific prior authorization procedures as they may differ from Fee-for-Service requirements.