Pharmacists and prescribers only (800) 558-1655.
Pharmacy Services Manual
Providers may search the online PDL below, or view and print a quick reference PDF.
The PDL is subject to change at any time by the MDwise Clinical Policy Committee.
Most generic prescription drug products are covered in the prescription drug benefit and included on the preferred drug list. Brand drugs which have A-rated generic equivalent products on the market will not be included on the preferred drug list and will require authorization. |
