Wisconsin Medicaid Provider Type: 26 Pharmacies

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Archived Data Tables

June 2008 Data Tables BadgerCare Plus Benchmark NDC List PDF (1884 KB) Excel (1276 KB) Brand Medically Necessary Drugs That Require Prior Authorization PDF (118 KB) Excel (35 KB) Legend Drug Maximum Allowed Cost List PDF (513 KB) Excel (589 KB)
May 2008 Data Tables BadgerCare Plus Benchmark NDC List PDF (1673 KB) Excel (1133 KB) Brand Medically Necessary Drugs That Require Prior Authorization PDF (113 KB) Excel (35 KB) Legend Drug Maximum Allowed Cost List PDF (499 KB) Excel (570 KB)
April 2008 Data Tables BadgerCare Plus Benchmark NDC List PDF (1673 KB) Excel (1133 KB) Brand Medically Necessary Drugs That Require Prior Authorization PDF (113 KB) Excel (35 KB) Legend Drug Maximum Allowed Cost List PDF (499 KB) Excel (570 KB)
March 2008 Data Tables BadgerCare Plus Benchmark NDC List PDF (483 KB) Excel (1106 KB) Brand Medically Necessary Drugs That Require Prior Authorization PDF (119 KB) Excel (34 KB) Legend Drug Maximum Allowed Cost List PDF (493 KB) Excel (559 KB)
February 2008 Data Tables BadgerCare Plus Benchmark NDC List PDF (483 KB) Excel (1106 KB) Brand Medically Necessary Drugs That Require Prior Authorization PDF (119 KB) Excel (34 KB) Legend Drug Maximum Allowed Cost List PDF (493 KB) Excel (559 KB)
January 2008 Data Tables Brand Medically Necessary Drugs That Require Prior Authorization PDF (119 KB) Excel (34 KB) Legend Drug Maximum Allowed Cost List PDF (493 KB) Excel (559 KB)

2007 Archived Data Tables

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