MedicaidPrior AuthMedium impact
MAB2020111602
Pennsylvania Medicaid (DHS)·PA·Provider Bulletin
Effective date
Jan 5, 2021
We identified it
Jun 20, 2026
Summary
Pennsylvania is implementing updates to its Statewide Preferred Drug List (PDL) effective January 5, 2021, which will affect prior authorization requirements for both preferred and non-preferred medications. The changes apply uniformly across both fee-for-service and managed care Medicaid programs, with specific prior authorization guidelines that prescribers must follow.
Action Required
By January 5, 2021: Prescribing providers must review the updated Statewide PDL at https://papdl.com/preferred-drug-list to identify new preferred/non-preferred drug statuses and quantity limits. Update prior authorization procedures following guidelines in the Prior Authorization of Pharmaceutical Services Handbook. For Medicaid managed care patients, contact specific MCOs for their prior authorization procedures as they may differ from fee-for-service requirements.