Pennsylvania Medical Assistance Program Preferred Drug List (PDL)
Effective January 1, 2020, the PDL is utilized by the Fee-for-Service (FFS) program and all MA managed care organizations (MCOs) that provide outpatient drug services to MA beneficiaries in Pennsylvania. All MA covered drugs designated as non-preferred are covered and available to MA beneficiaries when found to be medically necessary through the prior authorization process. The FFS program and the MA MCOs use the same prior authorization guidelines to determine medical necessity.