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The NH Medicaid Preferred Drug List (PDL) is a list of effective prescription drugs within therapeutic drug classes. These drugs are the recommended first choice when prescribing for Medicaid patients.

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NH Medicaid Non-Preferred Drug Approval Fax Forms

  • What are the advantages of a PDL?
    • The PDL provides continued access to prescription medications while ensuring that Medicaid pays the lowest cost for medications. All drugs currently covered will remain available to Medicaid recipients; however, non-preferred drugs will require prior authorization by the prescriber.
  • How are drugs placed on the PDL?
    • Drugs within specified therapeutic drug classes will be approved for the PDL based on safety and clinical efficacy first, and then based on cost.
  • What are the criteria for non-PDL drug approval?
    • The prescriber will determine and document that the non-preferred drug is medically necessary. The criteria for approval were recommended by the Drug Use Review (DUR) Board.
  • Who can I contact for more information?
    • If you have additional questions about the PDL program, you may contact Medicaid Client Services at (800) 852-3345, ext. 4344, or Magellan Medicaid Administration (MMA) at (866) 664-4506.

      If you would like to report a concern or problem about the PDL program, you may contact the DHHS Ombudsman at (603) 271-6941.

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New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852

copyright 2016. State of New Hampshire