• Skip to main content
  • Skip to footer

North Dakota Medicaid

  • Prior Auth
    • PA Form Lookup
    • PA Forms
  • Drug Coverage
    • Preferred Drug List (PDL)
    • Coverage Guidance & Helpful Links
    • Pharmacy E-mail Archive Link
  • NDC Drug Lookup
  • DUR Board
  • Education
    • Academic Detailing
    • Newsletters

Search iconContact Us

Preferred Drug List (PDL)

Preferred Drug List (PDL)

The Preferred Drug List (PDL) is a list developed by North Dakota Medicaid in conjunction with the North Dakota Drug Use Review Board (DUR Board) and adopted by the Department. The PDL is applicable to all fee-for-service and expansion recipients. The PDL contains lists of preferred and non-preferred medications, category and drug-specific prior authorization criteria for medications requiring prior authorization, as well as most other coverage rules for covered medications.

PDL 2025

  • Version 1 (Effective: 1/1/2025)
  • Version 2 (Effective: 1/15/2025)
  • Version 3 (Effective: 3/6/2025).
  • Version 4 (Effective: 5/1/2025).

 

2024
  • Version 1 (Effective: 1/1/2024)
  • Version 2 (Effective: 2/7/2024)
  • Version 3 (Effective: 4/15/2024)
  • Version 4 (Effective: 5/28/2024)
  • Version 5 (Effective: 7/9/2024)
  • Version 6 (Effective: 9/10/2024)
  • Version 7 (Effective: 11/1/2024).
2023
  • Version 1 (Effective: 1/1/2023)
  • Version 2 (Effective: 1/1/2023)
  • Version 3 (Effective: 7/1/2023)
  • Version 4 (Effective: 8/1/2023)
  • Version 5 (Effective: 10/1/2023)
  • Version 6 (Effective: 10/1/2023)
2022
  • Version 1 (Effective: 1/1/2022)
  • Version 2 (Effective: 1/20/2022)
  • Version 3 (Effective: 4/1/2022)
  • Version 4 (Effective: 4/20/2022)
  • Version 5 (Effective: 8/15/2022)
  • Version 6 (Effective: 10/1/2022)
2021
  • Version 1 (Effective: 1/1/2021)
  • Version 2 (Effective: 1/21/2021)
  • Version 3 (Effective: 4/1/2021)
  • Version 4 (Effective: 5/15/2021)
  • Version 5 (Effective: 7/1/2021)
  • Version 6 (Effective: 10/1/2021)
2020
  • Version 1 (Effective: 1/1/2020)
  • Version 2 (Effective: 1/1/2020)
  • Version 3 (Effective: 3/1/2020)
  • Version 4 (Effective: 6/1/2020)
  • Version 5 (Effective: 6/1/2020)
  • Version 6 (Effective: 10/1/2020)
2019
  • Version 1 (Effective: 1/1/2019)
  • Version 2 (Effective: 4/1/2019)
  • Version 3 (Effective: 5/1/2019)
  • Version 4 (Effective: 6/1/2019)
  • Version 5 (Effective: 9/1/2019)
2018
  • Version 1 (Effective: 1/1/2018)
  • Version 2 (Effective: 2/12/2018)
  • Version 3 (Effective: 3/12/2018)
  • Version 4 (Effective: 4/1/2018)
  • Version 5 (Effective: 5/1/2018)
  • Version 6 (Effective: 7/1/2018)
  • Version 7 (Effective: 7/30/2018)
  • Version 8 (Effective: 9/17/2018)
  • Version 9 (Effective: 11/5/2018)
2017
  • Version 1 (Effective: 1/1/2017)
  • Version 2 (Effective: 1/1/2017)
  • Version 3 (Effective: 4/1/2017)
  • Version 4 (Effective: 7/1/2017)
  • Version 5 (Effective: 8/22/2017)
  • Version 6 (Effective: 10/1/2017)
  • Version 7 (Effective: 11/15/2017)
2016
  • Version 1 (Effective: 1/1/2016)
  • Version 2 (Effective: 10/10/2016)
  • Version 3 (Effective: 4/1/2016)
  • Version 4 (Effective: 7/1/2016)
  • Version 5 (Effective: 7/1/2016)
  • Version 6 (Effective: 9/1/2016)
  • Version 7 (Effective: 10/10/2016)
2015
  • Version 1 (Effective: 10/1/2015)

About Us
About Acentra Health
Contact Us
P: 1-866-773-0695

Important Links
Privacy Policy
Web Accessibility
Site Map

dashicons-linkedin dashicons-twitter dashicons-instagram

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply

Copyright © 2025 Acentra Health. All Rights Reserved.