格鲁吉亚：2025年首选药物清单（英文）

This list does not include all drugs covered under the Georgia Medicaid/PeachCare for Kids outpatient pharmacyprogram.KEY:Preferred / P: medications associated with a lower member copayment;Non-Preferred / NP:medications associated with a higher member copayment;PA: prior authorization required; QLL: quantity ortherapy limits apply. The QLL listing and therapy limitation description are located in Part II of the Policiesand Procedures for Pharmacy Services Manual located on the web portal, under Provider Manuals. Georgia Medicaid/PeachCare Preferred Drug ListEffective October 1, 2025 This list does not include all drugs covered under the Georgia Medicaid/PeachCare for Kids outpatient pharmacyprogram.KEY:Preferred / P: medications associated with a lower member copayment;Non-Preferred / NP:medications associated with a higher member copayment;PA: prior authorization required; QLL: quantity ortherapy limits apply. The QLL listing and therapy limitation description are located in Part II of the Policiesand Procedures for Pharmacy Services Manual located on the web portal, under Provider Manuals. Georgia Medicaid/PeachCare Preferred Drug ListEffective October 1, 2025 This list does not include all drugs covered under the Georgia Medicaid/PeachCare for Kids outpatient pharmacyprogram.KEY:Preferred / P: medications associated with a lower member copayment;Non-Preferred / NP:medications associated with a higher member copayment;PA: prior authorization required; QLL: quantity ortherapy limits apply. The QLL listing and therapy limitation description are located in Part II of the Policiesand Procedures for Pharmacy Services Manual located on the web portal, under Provider Manuals. Georgia Medicaid/PeachCare Preferred Drug ListEffective October 1, 2025 This list does not include all drugs covered under the Georgia Medicaid/PeachCare for Kids outpatient pharmacyprogram.KEY:Preferred / P: medications associated with a lower member copayment;Non-Preferred / NP:medications associated with a higher member copayment;PA: prior authorization required; QLL: quantity ortherapy limits apply. The QLL listing and therapy limitation description are located in Part II of the Policiesand Procedures for Pharmacy Services Manual located on the web portal, under Provider Manuals. Georgia Medicaid/PeachCare Preferred Drug ListEffective October 1, 2025 This list does not include all drugs covered under the Georgia Medicaid/PeachCare for Kids outpatient pharmacyprogram.KEY:Preferred / P: medications associated with a lower member copayment;Non-Preferred / NP:medications associated with a higher member copayment;PA: prior authorization required; QLL: quantity ortherapy limits apply. The QLL listing and therapy limitation description are located in Part II of the Policiesand Procedures for Pharmacy Services Manual located on the web portal, under Provider Manuals. Georgia Medicaid/PeachCare Preferred Drug ListEffective October 1, 2025 This list does not include all drugs covered under the Georgia Medicaid/PeachCare for Kids outpatient pharmacyprogram.KEY:Preferred / P: medications associated with a lower member copayment;Non-Preferred / NP:medications associated with a higher member copayment;PA: prior authorization required; QLL: quantity ortherapy limits apply. The QLL listing and therapy limitation description are located in Part II of the Policiesand Procedures for Pharmacy Services Manual located on the web portal, under Provider Manuals. Georgia Medicaid/PeachCare Preferred Drug ListEffective October 1, 2025 This list does not include all drugs covered under the Georgia Medicaid/PeachCare for Kids outpatient pharmacyprogram.KEY:Preferred / P: medications associated with a lower member copayment;Non-Preferred / NP:medications associated with a higher member copayment;PA: prior authorization required; QLL: quantity ortherapy limits apply. The QLL listing and therapy limitation description are located in Part II of the Policiesand Procedures for Pharmacy Services Manual located on the web portal, under Provider Manuals. Georgia Medicaid/PeachCare Preferred Drug ListEffective October 1, 2025 This list does not include all drugs covered under the Georgia Medicaid/PeachCare for Kids outpatient pharmacyprogram.KEY:Preferred / P: medications associated with a lower member copayment;Non-Preferred / NP:medications associated with a higher member copayment;PA: prior authorization required; QLL: quantity ortherapy limits apply. The QLL listing and therapy limitation description are located in Part II of the Policiesand Procedures for Pharmacy Services Manual located on the web portal, under Provider Manuals. Georgia Medicaid/PeachCare Preferred Drug ListEffective October 1, 2025 This list does not include all drugs covered under the Georgia Medicaid/PeachCare for Kids outpatient pharmacyprogram.KEY:Preferred / P: medications associated with a lower member copayment;Non-Preferred / NP:medications associated with a higher member cop