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<div className="container bs-gray-400" ref={guidePopupContainerRef}><div className="row"><div className="col-12 col-lg-5 pdflist-view"><div className="overflow-auto pdf-lists"><ul><li className="li-file pdf"><a href="/system/files/2023-12-26/15-38-32/HCP_Coming_Soon_page.pdf" data-entity-type="media" data-entity-uuid="0468531e-2ee7-48cf-95b1-6b2dcdcbbfd5" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="1" target="_blank" title="Janssen CarePath Resource Guide">Janssen CarePath Resource Guide</a></li><li className="li-file pdf"><a href="/system/files/2024-01-18/15-47-16/ventavis-20mcg-medication-order-form.pdf" data-entity-type="media" data-entity-uuid="ff9e4ee4-330c-4666-9043-de7c9601418a" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="2" target="_blank" title="Medication Order Instructions">Medication Order Instructions</a></li><li className="li-file pdf"><a href="/system/files/2023-12-27/22-49-16/pah-patient-authorization.pdf" data-entity-type="media" data-entity-uuid="62c9eb8c-2446-4862-987b-8c1f845de98b" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="3" target="_blank" title="Patient Authorization Form">Patient Authorization Form</a></li><li className="li-file pdf"><a href="/system/files/2023-12-27/22-55-02/pah-patient-authorization-spanish.pdf" data-entity-type="media" data-entity-uuid="4d5c8b5c-5434-40f2-b7be-26eed4ea374b" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="4" target="_blank" title="Patient Authorization Form (en español)">Patient Authorization Form (en español)</a></li><li className="li-file pdf"><a href="/system/files/2025-04-14/23-52-09/prior-authorization-tips.pdf" data-entity-type="media" data-entity-uuid="a1183658-d740-4279-bac9-a1e714c9a2fd" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="5" target="_blank" title="Prior Authorization Tips">Prior Authorization Tips</a></li><li className="li-file pdf"><a href="/system/files/2025-04-03/01-06-47/pah-steps-to-getting-your-medicine.pdf" data-entity-type="media" data-entity-uuid="989595c3-3b46-4726-a8e1-0723f5955059" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="6" target="_blank" title="Steps to Getting Your Medicine">Steps to Getting Your Medicine</a></li><li className="li-file pdf"><a href="/system/files/2025-04-09/17-55-27/pah-steps-to-getting-your-medicine-spanish.pdf" data-entity-type="media" data-entity-uuid="146bc1fe-497e-411b-974e-10dc8574dada" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="7" target="_blank" title="Steps to Getting Your Medicine (en español)">Steps to Getting Your Medicine (en español)</a></li><li className="li-file pdf"><a href="/system/files/2024-01-17/23-08-53/ventavis-psmn.pdf" data-entity-type="media" data-entity-uuid="7a83fa98-7ddd-4d00-9310-ae686bfdf4b8" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="8" target="_blank" title="VENTAVIS® Prescription and Statement of Medical Necessity (PSMN)">VENTAVIS® Prescription and Statement of Medical Necessity (PSMN)</a></li><li className="li-file pdf"><a href="/system/files/2024-01-17/23-06-44/ventavis-va-psmn.pdf" data-entity-type="media" data-entity-uuid="a35c8c5f-315c-45b0-b9e4-58684d2addbf" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="9" target="_blank" title="VENTAVIS® Prescription and Statement of Medical Necessity (PSMN)—For Veterans Affairs Patients Only">VENTAVIS® Prescription and Statement of Medical Necessity (PSMN)—For Veterans Affairs Patients Only</a></li></ul></div></div><div className="col col-lg-7 d-sm-none d-lg-block right-section forms-guides-border"><div className="container"><div className="close-preview d-none d-lg-block" onClick={hideFormsModal}></div><div className="row pdf-preview default-preview"><div className="logo-preview"><div className="media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2024-04-29/13-41-25/logo.png?itok=tKOq0dN8" width="200" height="78" alt="Home" title="Home" loading="lazy" className="img-fluid image-style-large">        </div></div><div className="hov-inst">Hover on a document on the left for a quick document preview</div></div><div className="row d-none pdf-preview pdf-1"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"><a href="/system/files/2023-12-26/15-38-32/HCP_Coming_Soon_page.pdf" title="Janssen CarePath Resource Guide" data-entity-type="media" data-entity-uuid="0468531e-2ee7-48cf-95b1-6b2dcdcbbfd5" data-entity-substitution="media" target="_blank"><div className="pdf-preview-canvas media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2023-12-26/15-41-03/coming_soon.png?itok=sC7WQm0H" width="290" height="350" alt="Appeals Guide" title="Appeals Guide" loading="lazy" className="img-fluid image-style-large">        </div></a></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2023-12-26/15-38-32/HCP_Coming_Soon_page.pdf" data-entity-type="media" data-entity-uuid="0468531e-2ee7-48cf-95b1-6b2dcdcbbfd5" data-entity-substitution="media" title="Janssen CarePath Resource Guide" target="_blank">Janssen CarePath Resource Guide</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A comprehensive summary of support tools for your office to help patients start and stay on treatment.</p></div></div></div></div><div className="row d-none pdf-preview pdf-2"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"><a href="/system/files/2024-01-18/15-47-16/ventavis-20mcg-medication-order-form.pdf" title="Medication Order Instructions" data-entity-type="media" data-entity-uuid="ff9e4ee4-330c-4666-9043-de7c9601418a" data-entity-substitution="media" target="_blank"><div className="pdf-preview-canvas media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2024-01-18/15-49-51/ventavis-20mcg-medication-order-form.png?itok=1jaf790a" width="370" height="480" alt loading="lazy" className="img-fluid image-style-large">        </div></a></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2024-01-18/15-47-16/ventavis-20mcg-medication-order-form.pdf" data-entity-type="media" data-entity-uuid="ff9e4ee4-330c-4666-9043-de7c9601418a" data-entity-substitution="media" title="Medication Order Instructions" target="_blank">Medication Order Instructions</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">Instructions to your patient's specialty pharmacy to be used when transitioning from VENTAVIS® 10 mcg/mL to VENTAVIS® 20 mcg/mL.</p></div></div></div></div><div className="row d-none pdf-preview pdf-3"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2023-12-27/22-49-16/pah-patient-authorization.pdf" data-entity-type="media" data-entity-uuid="62c9eb8c-2446-4862-987b-8c1f845de98b" data-entity-substitution="media" title="Patient Authorization Form" target="_blank">Patient Authorization Form</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A form for patients to allow their providers, insurers, and Janssen to share health information about them.<br><a className="es-link" href="/system/files/2023-12-27/22-55-02/pah-patient-authorization-spanish.pdf" data-entity-type="media" data-entity-uuid="4d5c8b5c-5434-40f2-b7be-26eed4ea374b" data-entity-substitution="media" title="Patient Authorization Form (en español)" target="_blank">Patient Authorization Form (en español)</a></p></div></div></div></div><div className="row d-none pdf-preview pdf-4"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2023-12-27/22-55-02/pah-patient-authorization-spanish.pdf" data-entity-type="media" data-entity-uuid="4d5c8b5c-5434-40f2-b7be-26eed4ea374b" data-entity-substitution="media" title="Patient Authorization Form (en español)" target="_blank">Patient Authorization Form (en español)</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A form for patients to allow their providers, insurers, and Janssen to share health information about them.</p></div></div></div></div><div className="row d-none pdf-preview pdf-5"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"><a href="/system/files/2025-04-14/23-52-09/prior-authorization-tips.pdf" title="Prior Authorization Tips" data-entity-type="media" data-entity-uuid="a1183658-d740-4279-bac9-a1e714c9a2fd" data-entity-substitution="media" target="_blank"><div className="pdf-preview-canvas media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2023-12-26/19-53-28/prior-authorization-tips.png?itok=xu7Nng9y" width="220" height="281" alt loading="lazy" className="img-fluid image-style-large">        </div></a></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2025-04-14/23-52-09/prior-authorization-tips.pdf" data-entity-type="media" data-entity-uuid="a1183658-d740-4279-bac9-a1e714c9a2fd" data-entity-substitution="media" title="Prior Authorization Tips" target="_blank">Prior Authorization Tips</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A list of items and information that may be needed to obtain a coverage decision from an insurer.</p></div></div></div></div><div className="row d-none pdf-preview pdf-6"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"><a href="/system/files/2025-04-03/01-06-47/pah-steps-to-getting-your-medicine.pdf" title="Steps to Getting Your Medicine" data-entity-type="media" data-entity-uuid="989595c3-3b46-4726-a8e1-0723f5955059" data-entity-substitution="media" target="_blank"><div className="pdf-preview-canvas media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2025-04-03/02-28-14/steps-to-getting-your-medicine-eng-spanish-preview-duplicate.png?itok=semj7dTd" width="370" height="480" alt="Steps to Getting Your Medicine" title="Steps to Getting Your Medicine" loading="lazy" className="img-fluid image-style-large">        </div></a></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2025-04-03/01-06-47/pah-steps-to-getting-your-medicine.pdf" data-entity-type="media" data-entity-uuid="989595c3-3b46-4726-a8e1-0723f5955059" data-entity-substitution="media" title="Steps to Getting Your Medicine" target="_blank">Steps to Getting Your Medicine</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A patient-friendly guide to the verification and delivery process. <a className="es-link" href="/system/files/2025-04-09/17-55-27/pah-steps-to-getting-your-medicine-spanish.pdf" data-entity-type="media" data-entity-uuid="146bc1fe-497e-411b-974e-10dc8574dada" data-entity-substitution="media" title="Steps to Getting Your Medicine (en español)" target="_blank">Steps to Getting Your Medicine (en español)</a></p></div></div></div></div><div className="row d-none pdf-preview pdf-7"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2025-04-09/17-55-27/pah-steps-to-getting-your-medicine-spanish.pdf" data-entity-type="media" data-entity-uuid="146bc1fe-497e-411b-974e-10dc8574dada" data-entity-substitution="media" title="Steps to Getting Your Medicine (en español)" target="_blank">Steps to Getting Your Medicine (en español)</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A patient-friendly guide to the verification and delivery process.</p></div></div></div></div><div className="row d-none pdf-preview pdf-8"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2024-01-17/23-08-53/ventavis-psmn.pdf" data-entity-type="media" data-entity-uuid="7a83fa98-7ddd-4d00-9310-ae686bfdf4b8" data-entity-substitution="media" title="VENTAVIS® Prescription and Statement of Medical Necessity (PSMN)" target="_blank">VENTAVIS® Prescription and Statement of Medical Necessity (PSMN)</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">Complete and submit this form first to get your patient started on VENTAVIS®.</p></div></div></div></div><div className="row d-none pdf-preview pdf-9"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2024-01-17/23-06-44/ventavis-va-psmn.pdf" data-entity-type="media" data-entity-uuid="a35c8c5f-315c-45b0-b9e4-58684d2addbf" data-entity-substitution="media" title="VENTAVIS® Prescription and Statement of Medical Necessity (PSMN)—For Veterans Affairs Patients Only" target="_blank">VENTAVIS® Prescription and Statement of Medical Necessity (PSMN)—For Veterans Affairs Patients Only</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">Complete and submit this form first to get your Veterans Affairs patient started on VENTAVIS®.</p></div></div></div></div></div></div></div></div>

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<div className="custom-foot xarelto-jcp-resources d-none"><p className="text-one"><strong>XARELTO® is licensed from Bayer HealthCare AG, 51368 Leverkusen, Germany.</strong></p><p className="text-second">© Johnson &amp; Johnson Health Care Systems Inc. 2024 <span className="ex-sp ps-2">12/24</span> <span className="ex-sp ps-2">cp-412172v3</span></p><div className="image-jnj"><div className="media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/2024-12-27/04-33-26/JNJ_Logo_SingleLine_Red_RGB.svg" alt="Johnson &amp; Johnson Red Icon" className="img-fluid">        </div></div></div><footer className="text-white footer" id="global-footer"><div className="wrapper"><div className="region region-footer mx-0"><div className="block block-panels-mini clearfix px-0"><div className="row bs-row top-row region-row"><div className="col bs-col col-sm-12 region-col"><div className="footer-disclaimer"><div className="panel-content"><div className="field-type-text-with-summary"><div className="field-items"><div className="field-item even"><p className="general-only">Information about your patient’s insurance coverage, cost support options, and treatment support is given by service providers for <span className="text-nowrap">J&amp;J withMe</span>. 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<div className="product-section"><div className="product-white-area product-welcome-banner"><section className="product-welcome"><h1 className="product-header">Medicaid</h1><nav aria-label="breadcrumb"><ol className="breadcrumb"><li className="breadcrumb-item"><a href="/">Janssen CarePath</a></li><li className="breadcrumb-item"><a href="/hcp/ventavis">VENTAVIS®</a></li><li className="breadcrumb-item" aria-current="page"><a href="//ventavis/insurance-coverage/medicaid">Insurance Coverage</a></li></ol></nav></section></div><section className="mt-5 mb-5 inner-links product-page-right"><div className="row"><div className="col col-first col-12 col-lg-8 left-area"><div className="row product-template-innerlinks"><div className="container col-first col-md-12 px-0"><div className="subsection-wrapper"><p>Medicaid provides free or low-cost health coverage to Americans with limited income and resources. Low-income adults, children, pregnant women, elderly adults, and people with disabilities may be eligible. Medicaid is run by each state. The program is funded jointly by the states and the federal government. Coverage for VENTAVIS® may depend on the indication, along with other factors. Since information varies by state, we recommend contacting the state directly or reviewing its website.</p><p><span className="text-nowrap">Janssen CarePath</span> can help Medicaid patients with Benefits Investigations and Prior Authorization support.</p><p>Visit your state’s Medicaid page for more coverage information. You can use the menu below to find contact details for your state.</p><div>{findContactDetails}</div><div data-entity-type="node" data-entity-uuid="f202255e-62f7-477c-a9cd-2ecd67484db3" data-embed-button="node" data-entity-embed-display="view_mode:node.block_content" data-langcode="en" data-entity-embed-display-settings="[]" className="embedded-entity">            <div className="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><rec-searchable-dropdown options={stateOptions} label="label" id="value" placeholder="Type or select your state"></rec-searchable-dropdown><div className="stateoptionhiden"><div className="medicaid-list-group"><ul ref={stateListRef} name="neuro-medicaid"><li data-value="AL" state-name-link="https://medicaid.alabama.gov/content/4.0_Programs/4.3_Pharmacy-DME/4.3.7_Preferred_Drug_List.aspx" pdl-status="Covered" prior-auth-req>Alabama</li><li data-value="AK" state-name-link="https://dhss.alaska.gov/dhcs/Pages/pdl/default.aspx" pdl-status="See payer for details" prior-auth-req="Yes">Alaska</li><li data-value="AR" state-name-link="https://azahcccs.gov/PlansProviders/Pharmacy/" pdl-status="See payer for details" prior-auth-req="Yes">Arizona</li><li data-value="AZ" state-name-link="https://humanservices.arkansas.gov/divisions-shared-services/medical-services/helpful-information-for-providers/manuals/pharmacy-prov/" pdl-status="See payer for details" prior-auth-req="Yes">Arkansas</li><li data-value="CA" state-name-link="https://medi-calrx.dhcs.ca.gov/provider/drug-lookup/" pdl-status="Covered" prior-auth-req="Yes">California</li><li data-value="CO" state-name-link="https://hcpf.colorado.gov/medicaid-pharmacy-benefits" pdl-status="Preferred" prior-auth-req="Yes">Colorado</li><li data-value="CT" state-name-link="https://www.ctdssmap.com/CTPortal/Pharmacy-Information" pdl-status="Covered" prior-auth-req>Connecticut</li><li data-value="DE" state-name-link="https://medicaid.dhss.delaware.gov/provider/Home/PharmacyCornerLanding/tabid/2096/Default.aspx" pdl-status="Preferred" prior-auth-req="Yes">Delaware</li><li data-value="DC" state-name-link="https://dc.fhsc.com/providers/PDL.asp" pdl-status="Preferred" prior-auth-req="Yes">District of Columbia</li><li data-value="FL" state-name-link="https://ahca.myflorida.com/medicaid/Prescribed_Drug/preferred_drug.shtml" pdl-status="Preferred" prior-auth-req="Yes">Florida</li><li data-value="GA" state-name-link="https://dch.georgia.gov/providers/provider-types/pharmacy/preferred-drug-lists" pdl-status="Preferred" prior-auth-req="Yes">Georgia</li><li data-value="HI" state-name-link="https://medquest.hawaii.gov/en/plans-providers/pharmacy.html" pdl-status="Covered" prior-auth-req="Yes">Hawaii</li><li data-value="ID" state-name-link="https://healthandwelfare.idaho.gov/providers/pharmacy-providers/idaho-medicaid-pharmacy-program" pdl-status="See payer for details" prior-auth-req="Yes">Idaho</li><li data-value="IL" state-name-link="https://hfs.illinois.gov/medicalproviders/pharmacy.html" pdl-status="See payer for details" prior-auth-req="Yes">Illinois</li><li data-value="IN" state-name-link="https://www.in.gov/medicaid/providers/clinical-services/pharmacy-benefits/pharmacy-services/" pdl-status prior-auth-req>Indiana</li><li data-value="IA" state-name-link="https://hhs.iowa.gov/programs/welcome-iowa-medicaid/provider-services/medicaid-pharmacy" pdl-status="Preferred" prior-auth-req="Yes">Iowa</li><li data-value="KS" state-name-link="https://www.kdhe.ks.gov/188/Pharmacy" pdl-status="See payer for details" prior-auth-req="Yes">Kansas</li><li data-value="KY" state-name-link="https://www.chfs.ky.gov/agencies/dms/dpo/ppb/Pages/default.aspx" pdl-status="See payer for details" prior-auth-req="Yes">Kentucky</li><li data-value="LA" state-name-link="https://www.lamedicaid.com/provweb1/Pharmacy/pharmacyindex.htm" pdl-status="See payer for details" prior-auth-req="Yes">Louisiana</li><li data-value="ME" state-name-link="https://www.mainecarepdl.org/" pdl-status="Preferred" prior-auth-req="Yes">Maine</li><li data-value="MD" state-name-link="https://health.maryland.gov/mmcp/pap/Pages/Preferred-Drug-List.aspx" pdl-status="See payer for details" prior-auth-req="Yes">Maryland</li><li data-value="MA" state-name-link="https://www.mass.gov/masshealth-pharmacy-program" pdl-status="See payer for details" prior-auth-req="Yes">Massachusetts</li><li data-value="MI" state-name-link="https://michigan.magellanrx.com/provider/" pdl-status="Preferred" prior-auth-req="Yes">Michigan</li><li data-value="MN" state-name-link="https://minnesota.magellanmedicaid.com/pdl.asp" pdl-status="See payer for details" prior-auth-req="Yes">Minnesota</li><li data-value="MS" state-name-link="https://medicaid.ms.gov/providers/pharmacy/" pdl-status="See payer for details" prior-auth-req="Yes">Mississippi</li><li data-value="MO" state-name-link="https://dss.mo.gov/mhd/cs/pharmacy/pages/frequpdat.htm" pdl-status="Preferred" prior-auth-req="Yes">Missouri</li><li data-value="MT" state-name-link="https://medicaidprovider.mt.gov/19#187402960-preferred-drug-information" pdl-status="Preferred" prior-auth-req="Yes">Montana</li><li data-value="NE" state-name-link="https://dhhs.ne.gov/Pages/Medicaid-Provider-Pharmacy-Services.aspx" pdl-status="Preferred" prior-auth-req>Nebraska</li><li data-value="NV" state-name-link="https://www.medicaid.nv.gov" pdl-status="Preferred" prior-auth-req="Yes">Nevada</li><li data-value="NH" state-name-link="https://www.dhhs.nh.gov/programs-services/medicaid/medicaid-pharmacy-benefit-management" pdl-status="Covered" prior-auth-req>New Hampshire</li><li data-value="NJ" state-name-link="https://www.njmmis.com/" pdl-status prior-auth-req>New Jersey</li><li data-value="NM" state-name-link="https://www.hsd.state.nm.us/providers/" pdl-status prior-auth-req>New Mexico</li><li data-value="NY" state-name-link="https://www.health.ny.gov/health_care/medicaid/program/pharmacy.htm" pdl-status prior-auth-req>New York</li><li data-value="NC" state-name-link="https://medicaid.ncdhhs.gov/providers/programs-and-services/prescription-drugs/outpatient-pharmacy-services" pdl-status="Preferred" prior-auth-req>North Carolina</li><li data-value="ND" state-name-link="http://www.hidesigns.com/ndmedicaid" pdl-status="Preferred" prior-auth-req>North Dakota</li><li data-value="OH" state-name-link="https://pharmacy.medicaid.ohio.gov/drug-coverage" pdl-status="See payer for details" prior-auth-req="Yes">Ohio</li><li data-value="OK" state-name-link="https://oklahoma.gov/ohca/providers/types/pharmacy/pharmacy.html" pdl-status prior-auth-req>Oklahoma</li><li data-value="OR" state-name-link="https://www.oregon.gov/oha/HSD/OHP/Pages/PDL.aspx" pdl-status="See payer for details" prior-auth-req="Yes">Oregon</li><li data-value="PA" state-name-link="https://papdl.com/preferred-drug-list" pdl-status="Preferred" prior-auth-req="Yes">Pennsylvania</li><li data-value="RI" state-name-link="https://eohhs.ri.gov/providers-partners/provider-directories/pharmacy" pdl-status="See payer for details" prior-auth-req="Yes">Rhode Island</li><li data-value="SC" state-name-link="https://southcarolina.fhsc.com/providers/pdl.asp" pdl-status="Covered" prior-auth-req>South Carolina</li><li data-value="SD" state-name-link="https://dss.sd.gov/medicaid/providers/programinfo/pharmacy/" pdl-status prior-auth-req>South Dakota</li><li data-value="TN" state-name-link="https://www.tn.gov/tenncare/providers/managed-care-contractors/pharmacy-benefits-manager.html" pdl-status="Preferred" prior-auth-req="Yes">Tennessee</li><li data-value="TX" state-name-link="https://www.txvendordrug.com/formulary" pdl-status="See payer for details" prior-auth-req="Yes">Texas</li><li data-value="UT" state-name-link="https://medicaid.utah.gov/pharmacy/preferred-drug-list/" pdl-status="See payer for details" prior-auth-req="Yes">Utah</li><li data-value="VT" state-name-link="https://dvha.vermont.gov/providers/pharmacy/drug-coverage-lists" pdl-status="Preferred" prior-auth-req>Vermont</li><li data-value="VA" state-name-link="https://www.virginiamedicaidpharmacyservices.com/provider/preferred-drug-list/" pdl-status="Preferred" prior-auth-req="Yes">Virginia</li><li data-value="WA" state-name-link="https://www.hca.wa.gov/billers-providers-partners/programs-and-services/apple-health-preferred-drug-list-pdl" pdl-status="Preferred" prior-auth-req="Yes">Washington</li><li data-value="WV" state-name-link="https://dhhr.wv.gov/bms/BMS%20Pharmacy/Pages/Preferred-Drug-List.aspx" pdl-status="Preferred" prior-auth-req="Yes">West Virginia</li><li data-value="WI" state-name-link="https://www.forwardhealth.wi.gov/WIPortal/Tab/42/icscontent/provider/medicaid/pharmacy/resources.htm.spage#" pdl-status="See payer for details" prior-auth-req="Yes">Wisconsin</li><li data-value="WY" state-name-link="https://www.wymedicaid.org/pa-pdl/preferred-drug-lists.html" pdl-status prior-auth-req>Wyoming</li></ul></div><div className="medicaid-static-text d-none"><p>PDL Status Key:<br>Preferred: The highest coverage level of a drug<br>Covered: Drug is included in PDL or supporting documents<br>Brand: A patented drug (non-generic) listed in PDL or supporting documents<br>Blank Entry: Information not publicly available</p><p>*The title for each state's Medicaid Fee-for-Service drug list may vary (eg, Prescription Drug List, Contract Drug List)</p><p>Collected in 3/23 and may change.<br>This information does not give advice or promise coverage or payment. Legal requirements and plan information can be updated frequently. Contact the plan for more information about current coverage, restrictions, or requirements that may apply.</p><p className="r2-span"><span>R2</span></p></div></div></div>      </div></div></div></div></div><div className="col col-last col-12 col-lg-4 right-area"><div data-entity-type="node" data-entity-uuid="a0ec8845-0865-4b5d-8b32-80b8c617f070" data-embed-button="node" data-entity-embed-display="view_mode:node.block_content" data-langcode="en" data-entity-embed-display-settings="[]" className="embedded-entity">            <div className="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><div className="product-template-innerlinks"><div className="pdf-image"><a href="/system/files/2024-07-08/15-55-28/know-your-state.pdf" target="_blank" title="Know Your State Interactive Tool" data-entity-type="media" data-entity-uuid="9144bb9a-cd5c-4b65-84c9-c020e4520f6a" data-entity-substitution="media"><div className="media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2024-07-08/11-13-36/know-your-state.png?itok=ArbUTrCJ" width="362" height="271" alt="Know Your State Interactive Tool" title="Know Your State Interactive Tool" loading="lazy" className="img-fluid image-style-large">        </div></a></div><div className="pdf-link"><a href="/system/files/2024-07-08/15-55-28/know-your-state.pdf" data-entity-type="media" data-entity-uuid="9144bb9a-cd5c-4b65-84c9-c020e4520f6a" data-entity-substitution="media" target="_blank" title="Know Your State Interactive Tool">Know Your State Interactive Tool</a></div><div className="pdf-description">Learn about access and affordability options for patients in your state.</div></div></div>      </div></div></div></section></div>

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IMAAVY™ (nipocalimab-aahu)

IMAAVY™

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INVEGA HAFYERA™ (paliperidone palmitate)

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INVEGA HAFYERA™

Helping Patients Afford <span class="text-nowrap">INVEGA TRINZA®</span>

Help Your Patients Start and Stay on <span class="text-nowrap">INVEGA TRINZA®</span>