MedicaidPrior AuthMedium impact
MAB2023111402
Pennsylvania Medicaid (DHS)·PA · Pharmacy·Provider Bulletin
Effective date
Jan 8, 2024
We identified it
Jun 20, 2026
Summary
Pennsylvania's Statewide Preferred Drug List (PDL) will be updated effective January 8, 2024, changing preferred/non-preferred drug statuses and prior authorization requirements. This affects all Pennsylvania Medical Assistance (Medicaid) providers including pharmacies and prescribers in both fee-for-service and managed care systems.
Action Required
By January 8, 2024: Review the updated Statewide PDL at https://papdl.com/preferred-drug-list to identify new preferred/non-preferred drug statuses. Update billing system to reflect new prior authorization requirements for non-preferred drugs. Train staff on revised prior authorization procedures for both fee-for-service and managed care Medical Assistance beneficiaries. Monitor for separate MA Bulletins containing specific new prior authorization guidelines.