External NDC Lookup

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Drug Search

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This drug search will provide age limits, quantity limits and prior authorization requirements. It will also display pricing. Actual payments to providers are based on "lesser of" payment methodology which can be found in ND Medicaid's provider manuals. Any copay amount that displays is based on the drug. Actual copayment due when a claim is processed is based on the member as there are many situations where a member is exempt from copays.
Search using the NDC or Drug Name, claim date of service (default is current date), and Benefit Plan 100-ND Medicaid Fee for Service (other Benefit Plan selections may be used when appropriate).
Information contained on this website is not a guarantee of payment. The Department will continue to pay for medications pursuant to current Department policies.
Please note if an NDC displays 'covered' but doesn't show pricing, ND Medicaid will use the current WAC price to determine pricing.
Prior Authorization forms and ND Medicaid's preferred drug list can be found at https://ndmedicaid.acentra.com.
Drugs for newly participating labelers in the Medicaid Drug Rebate Program (MDRP) will appear as not covered until the drug shows active in the CMS quarterly rebate file. Call 1-800-755-2604 with any questions.

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