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General Information

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Table

General Information

State/Territory Open formulary Excluded drugs (if open formulary) ADAP supports two formularies: full-pay medication program and ADAP-funded insurance program Additional drugs and services are available to clients with clinical provider's approval
Alabama No Yes No
Alaska No No No
Arizona No Yes Yes
Arkansas No No Yes
California No No No
Colorado No Yes No
Connecticut No No No
Delaware NR NR NR NR
District of Columbia No No No
Florida No No No
Georgia No No No
Guam No No No
Hawaii No No No
Idaho No No Yes
Illinois No No No
Indiana No No No
Iowa Yes abortifacients; acne medications; anti-rheumatic injectables (Cimzia, Enbrel, Humira, Kineret, etc.); Botox; compound medications (prior authorization required); cosmetic medications; durable medical equipment; erectile dysfunction medications; fertility medications; hair removal/growth medications; infusion medications; medical cannabidiol; Egrifta; provider administered medications/injections; Schedule II controlled substances (Percocet, Adderall, hydrocodone, methadone, etc.); cough suppressants that contain controlled substances (hydrocodone, codeine, etc.) No Yes
Kansas No Yes Yes
Kentucky No No No
Louisiana No Yes No
Maine No No No
Maryland Yes herbal supplements; opioid medications; erectile dysfunction medications; nicotine replacement therapy; repackaged medications No No
Massachusetts Yes finasteride (approved for prostate cancer only); minoxidil; cosmetic medications; erectile dysfunction medications; fertility drugs; herbal medications No No
Michigan No No Yes
Minnesota Yes controlled substances and other medications not allowed or are excluded by Minnesota statute No No
Mississippi No No No
Missouri No No No
Montana No No No
Nebraska Yes Schedule II medications; erectile dysfunction medications; cough syrup with codeine No Yes
Nevada No No No
New Hampshire Yes IV immune globulin No No
New Jersey Yes Life style drugs such as Viagra, and over the counter medicines. No Yes
New Mexico Yes HCV for full-pay medication program; Cabenuva Yes No
New York No No No
North Carolina No Yes No
North Dakota Yes abortifacients; acne medications;. all controlled substances; antipsychotics; antirheumatic injectables; blood; botulinum toxin; chemotherapeutic agents; compounded medications; cosmetic medications; cough suppressants; durable medical equipment; erectile dysfunction treatments; fertility medications; gabapentinoids; hair removal/growth medications; HCV for full-pay medication program (assistance with copays/deductibles only); herbal medications; human growth hormone; hyaluronic acid derivatives; IVIG; Infusions; muscle relaxants No Yes
Ohio Yes abortifacients; acne medications; botulinum toxin; chemotherapeutic agents (except imiquimod cream); controlled substances (Class Schedules II, III, IV and V; except pregabalin); topical testosterone; cosmetic medications/hair removal/growth Medications; durable medical equipment; Egrifta SV; fertility medication; finasteride; HCV treatments; herbal medications; human growth hormone; hyaluronic acid derivatives; injectable muscle relaxants; sexual dysfunction medications No No
Oklahoma No No No
Oregon Yes Medications for erectile dysfunction Yes Yes
Pennsylvania No No No
Puerto Rico No No No
Rhode Island No No Yes
South Carolina No No No
South Dakota No No Yes
Tennessee No Yes Yes
Texas No Yes No
Utah No Yes Yes
Vermont No No No
Virginia No Yes No
Washington Yes No exclusions but restrictions for erectile dysfunction medications Yes Yes
West Virginia No No No
Wisconsin No No No
Wyoming Yes Hemophilia medications, botulinum toxin; gonadotropin; finasteride (except for prostate disorders) ; hyaluronic acid derivatives; IVIG; injectable muscle relaxants; mifepristone; minoxidil; antirheumatic injectables; monoclonal antibodies; nutritional supplements; propoxyphene; recombinant human growth hormone; synthetic growth hormone; Egrifta SV; durable medical equipment; cosmetic medications; erectile dysfunction medications; female sexual dysfunction medications; fertility drugs; herbal medications No Yes