| Rev#: | Date: | Nature of Change: |
|---|
| 6.06 | 05/11/2026 | 1100-1677778-1856104 The following have been posted: Medical Benefit Specialty Drug List, 05/08/2026 Pharmacy Specialty Drug List, 05/09/2026 |
| 6.05 | 04/09/2026 | 1100-1677764-1772500 The following have been posted: Medical Benefit Specialty Drug List, 04/08/2026 Pharmacy Specialty Drug List, 04/09/2026 |
| 6.04 | 04/01/2026 | 1100-1677764-1802600 The following lists were posted:
Commercial Preferred Drug Program List - as of 04/2026 Medicare Part B Preferred Drug Program List - as of 04/2026
|
| 6.03 | 03/09/2026 | 1100-1677764-1772500 The following have been posted: Medical Benefit Specialty Drug List, 03/08/2026 Pharmacy Specialty Drug List, 03/09/2026 |
| 6.02 | 02/18/2026 | 1100-1677757-1743050 The following have been posted: Medical Benefit Specialty Drug List, 02/08/2026 Pharmacy Specialty Drug List, 02/09/2026 |
| 6.01 | 01/28/2026 | 1100-1677750-1703250 The following pharmacies have been added or updated: Added: Adventist Health Castle Pharmacy Updated: CVS Specialty (formerly known as Careplus CVS/Procare/Caremark) |
| 6.0 | 01/09/2026 | 1100-1677750-1689650 The following have been posted: Medical Benefit Specialty Drug List, 01/08/2026 Pharmacy Specialty Drug List, 01/09/2026 |
| 5.8 | 12/30/2025 | 1100-1205577-1677954 The following lists were posted:
Commercial Preferred Drug Program List - as of 01/2026 Medicare Part B Preferred Drug Program List - as of 01/2026
Preferred Drug Program List (QUEST Integration) - as of 01/2026
|
| 5.7 | 12/11/2025 | 1100-1205577-1650751 The following have been posted: Medical Benefit Specialty Drug List, 12/08/2025 Pharmacy Specialty Drug List, 12/09/2025 |
| 5.6 | 11/07/2025 | 1100-1205570-1612205 The following have been posted: Medical Benefit Specialty Drug List, 11/08/2025 Pharmacy Specialty Drug List, 11/09/2025 |
| 5.5 | 10/16/2025 | 1100-1205563-1577052 The following have been posted: Medical Benefit Specialty Drug List, 10/08/2025 Pharmacy Specialty Drug List, 10/09/2025 |
| 5.4 | 10/13/2025 | 1100-1205563-1571850 The following lists were posted:
Commercial Preferred Drug Program List - as of 10/2025, v10/13/2025
Preferred Drug Program List (QUEST) - as of 10/2025, v10/13/2025
|
| 5.3 | 10/10/2025 | 1100-1205563-1568600 The following lists were reverted to the PDL in effect on 01/2025:
Commercial Preferred Drug Program List as of 01/2025 Preferred Drug Program List (QUEST) - as of 01/2025
|
| 5.2 | 10/07/2025 | 1100-1205563-1561200 The following lists were posted:
Commercial Preferred Drug Program List as of 10/2025, v2
Preferred Drug Program List (QUEST) - as of 10/2025, v2
|
| 5.1 | 09/29/2025 | 1100-1205556-1545654 The following lists were posted:
Commercial Preferred Drug Program List as of 10/2025
Preferred Drug Program List (QUEST) - as of 10/2025
|
| 5.0 | 03/18/2025 | 1100-1205514-1278200 Removed specialty pharmacy: Premier Pharmacy |
| 4.13 (v74) | 12/23/2024 |
1100-956557-1198400 The following lists were posted:
Commercial Preferred Drug Program List as of 01/2025 Medicare Part B Preferred Drug Program List - as of 01/2025
Preferred Drug Program List (QUEST Integration) - as of 01/2025
|
| 4.12 (v73) | 11/13/2024 |
1100-956552-1176652 Added specialty pharmacy: Santa Rosa Pharmacy
|
| 4.11 (v72) | 10/02/2024 |
1100-956547-1150150
The following specialty pharmacies have been added:
CareMed, ONCO360, Profusion Specialty Pharmacy, 5 Minute Pharmacy Long Term Care
|
| 4.10 (v71) | 09/30/2024 | 1100-956542-1148052 The following list has been updated:
Preferred Drug Program List (QUEST Integration) - October 2024
Commercial Preferred Drug Program List - as of October 2024
|
| 4.9 (v70) | 07/03/2024 | 1100-956532-1086004 The following list has been updated:
Preferred Drug Program List (QUEST Integration) - 04/2024, v2
|
| 4.8 (v69) | 06/28/2024 | 1100-956527-1083401 The following list has been posted:
Commercial Preferred Drug Program List - as of 07/2024
|
| 4.7 (v68) | 06/26/2024 | 1100-956527-1081860 The following lists were posted:
Medical Benefit Specialty Drug List, 06/08/2024 Pharmacy Specialty Drug List, 06/09/2024
|
| 4.6 (v67) | 05/14/2024 | 1100-956522-1054150 The following lists were posted:
Medical Benefit Specialty Drug List, 05/08/2024 Pharmacy Specialty Drug List, 05/09/2024
|
| 4.5 (v66) | 04/16/2024 | The following lists were posted:
Medical Benefit Specialty Drug List, 04/08/2024 Pharmacy Specialty Drug List, 04/09/2024
The following lists were added to the archive folders:
Medical Benefit Specialty Drug List, 03/08/2024 Pharmacy Specialty Drug List, 03/09/2024
|
| 4.4 (v65) | 04/11/2024 | The following lists were posted:
Medical Benefit Specialty Drug List, 02/08/2024 Pharmacy Specialty Drug List, 02/09/2024
|
| 4.3 (v64) | 03/28/2024 | The following list has been updated:
Preferred Drug Program List (QUEST Integration) - as of 04/2024
|
| 4.2 (v63) | 02/12/2024 | The following list has been posted:
Medicare Part B Preferred Drug Program List - as of 01/2024, v4 (skipping v3; versioning to align with source document)
|
| 4.1 (v62) | 02/09/2024 | The following list has been posted:
Medicare Part B Preferred Drug Program List - as of 01/2024, v2
|
| 4,0 (v61) | 01/16/2024 | The following lists were posted:
Medical Benefit Specialty Drug List, 01/08/2024 Pharmacy Specialty Drug List, 01/09/2024
|
| 3.50 (v60) | 12/28/2023 | The following list has been updated:
Preferred Drug Program List (QUEST Integration) - as of 01/2024
|
| 3.49 (v59) | 12/26/2023 | The following lists were posted:
Commercial Preferred Drug Program List as of 01/2024 Medicare Part B Preferred Drug Program List - as of 01/2024
|
| 3.48 (v58) | 12/07/2023 | The following lists were posted:
Medical Benefit Specialty Drug List, 12/8/2023 Pharmacy Specialty Drug List, 12/9/2023
|
| 3.47 (v57) | 11/15/2023 | The following lists were posted:
Medical Benefit Specialty Drug List, 11/8/2023 Pharmacy Specialty Drug List, 11/9/2023
The following lists were added to the archive folders:
Medical Benefit Specialty Drug List, 10/8/2023 Medical Benefit Specialty Drug List, 9/8/2023 Medical Benefit Specialty Drug List, 8/8/2023 Pharmacy Specialty Drug List, 10/9/2023 Pharmacy Specialty Drug List, 9/9/2023 Pharmacy Specialty Drug List, 8/9/2023
Added Hawaii Pacific Health Specialty Pharmacy to the Specialty Pharmacies directory.
|
| 3.46 (v56) | 9/28/2023 | Medicare Part B Preferred Drug Program List - as of 10/01/2023. List eff 01/01/2023 was archived. |
| 3.45 (v55) | 08/17/2023 | The following lists were posted:
Medical Benefit Specialty Drug List, 7/8/2023 Pharmacy Specialty Drug List, 7/9/2023
|
| 3.44 (v54) | 07/31/2023 | The following lists were posted:
Medical Benefit Specialty Drug List, 7/8/2023 Pharmacy Specialty Drug List, 7/9/2023
|
| 3.43 (v53) | 07/10/2023 | CVS or CVS Caremark references have been updated to "HMSA's pharmacy benefit manager" or "the pharmacy benefit manager." Minor proofreading edits, which did not affect context, were also applied. |
| 3.42 (v52) | 07/06/2023 | Updated pharmacy name from Hawaii Specialty Pharmacy to Hawaii Specialty Pharmacy and California Specialty Pharmacy |
| 3.41 (v51) | 06/29/2023 | Updated the following link names:
Commercial Preferred Drug Program List - as of 07/2023 QUEST Integration Preferred Drug Program List - as of 07/2023
|
| 3.40 (v50) | 06/27/2023 | The following lists have been updated:
Preferred Drug Program List (Commercial) - as of 07/2023 Preferred Drug Program List (QUEST Integration) - as of 07/2023
|
| 3.39 (v49) | 06/26/2023 | Updated the list of current specialty pharmacies. |
| 3.38 (v48) | 06/12/2023 | Updated two references from HHIN to HHIN+. |
| 3.37 (v47) | 06/09/2023 | The following lists were posted:
Medical Benefit Specialty Drug List, 6/8/2023 Pharmacy Specialty Drug List, 6/9/2023
|
| 3.36 (v46) | 05/19/2023 | The following lists were posted:
Medical Benefit Specialty Drug List, 5/8/2023 Pharmacy Specialty Drug List, 5/9/2023
|
| 3.35 (v45) | 04/05/2023 | The following lists were posted:
Medical Benefit Specialty Drug List, 4/8/2023 Medical Benefit Specialty Drug List, 3/8/2023, (added to archive folder) Medical Benefit Specialty Drug List, 2/8/2023, (moved to archive folder) Pharmacy Specialty Drug List, 4/9/2023 Pharmacy Specialty Drug List, 3/9/2023, (added to archive folder) Pharmacy Specialty Drug List, 2/9/2023, (moved to archive folder)
|
| 3.34 (v44) | 02/21/2023 | The following lists have been posted:
Medical Benefit Specialty Drug List, 2/8/2023 Pharmacy Specialty Drug List, 2/9/2023
|
| 3.33 (v43) | 01/12/2023 | The following lists have been posted:
Medical Benefit Specialty Drug List, 1/8/2023 Pharmacy Specialty Drug List, 1/9/2023
|
| 3.23 (v42) | 01/03/2023 | Hyperlinks to archive folders have been updated. |
| 3.22 (v41) | 12/27/2022 | The following list was posted:
Medicare Part B Preferred Drug Program List - as of 1/1/2023. List eff 02/01/2022 was archived.
|
| 3.21 (v40) | 12/07/2022 | The following lists were posted:
Medical Benefit Specialty Drug List, 12/8/2022 Pharmacy Specialty Drug List, 12/9/2022
|
| 3.20 (v39) | 11/17/2022 | The following lists were posted:
Medical Benefit Specialty Drug List, 11/8/2022 Medical Benefit Specialty Drug List, 10/8/2022, (added to archive folder) Medical Benefit Specialty Drug List, 9/8/2022, (added to archive folder) Pharmacy Specialty Drug List, 11/9/2022 Pharmacy Specialty Drug List, 10/9/2022, (added to archive folder) Pharmacy Specialty Drug List, 9/9/2022, (added to archive folder)
|
| 3.19 (v38) | 09/30/2022 | The following lists were posted:
Medical Benefit Specialty Drug List, 9/8/2022 Medical Benefit Specialty Drug List, 8/8/2022, (added to archive folder) Pharmacy Specialty Drug List, 9/9/2022 Pharmacy Specialty Drug List, 8/9/2022, (added to archive folder)
|
| 3.18 (v37) | 08/09/2022 | The following lists were posted:
Medical Benefit Specialty Drug List, 8/8/2022 Medical Benefit Specialty Drug List, 7/8/2022, (added to archive folder) Pharmacy Specialty Drug List, 8/9/2022 Pharmacy Specialty Drug List, 7/9/2022, (added to archive folder)
|
| 3.17 (v36) | 07/18/2022 | The following lists were posted:
Medical Benefit Specialty Drug List, 7/8/2022 Medical Benefit Specialty Drug List, 6/8/2022, (added to archive folder) Pharmacy Specialty Drug List, 7/9/2022 Pharmacy Specialty Drug List, 6/9/2022, (added to archive folder)
|
| 3.16 (v35) | 06/30/2022 | Posted the Medical and Pharmacy Preferred Drug Program list (Commercial) for July 2022 Medical and Pharmacy Preferred Drug Program list (Commercial) for November 2021 was moved to Archive folder. |
| 3.15 (v34) | 06/02/2022 | The following lists were posted:
Medical Benefit Specialty Drug List, 6/8/2022 Medical Benefit Specialty Drug List, 5/8/2022, (added to archive folder) Medical Benefit Specialty Drug List, 4/8/2022, (added to archive folder) Medical Benefit Specialty Drug List, 3/8/2022, archived Pharmacy Specialty Drug List, 6/9/2022 Pharmacy Specialty Drug List, 5/9/2022, (added to archive folder) Pharmacy Specialty Drug List, 4/9/2022, (added to archive folder) Pharmacy Specialty Drug List, 3/9/2022, archived
|
| 3.14 (v33) | 03/03/2022 | The following lists were posted:
Pharmacy Specialty Drug List, 3/9/2022 Pharmacy Specialty Drug List, 2/9/2022 (added to archive folder) Pharmacy Specialty Drug List, 1/9/2022 (added to archive folder) Pharmacy Specialty Drug List, 12/9/2021 (added to archive folder) Pharmacy Specialty Drug List, 11/9/2021 (added to archive folder) Pharmacy Specialty Drug List, 10/9/2021 (added to archive folder) Pharmacy Specialty Drug List, 9/9/2021 (archived)
|
| 3.13 (v32) | 03/02/2022 | The following lists were posted:
Medical Specialty Drug List current as of 3/8/2022 Medical Specialty Drug List current as of 2/8/2022 (added to archive folder)
|
| 3.12 (v31) | 01/31/2022 | The following list was posted:
Medicare Part B Preferred Drug Program List - February 2022. List eff 01/01/2022 was archived.
|
| 3.11 (v30) | 01/19/2022 | The following lists were posted:
Medical Specialty Drug List current as of 1/8/2022 Medical Specialty Drug List current as of 12/8/2021 (added to archive folder)
|
| 3.10 (v29) | 12/30/2021 | The following list was posted:
Medicare Part B Preferred Drug Program List - as of 1/1/2022. List eff 06/01/2021 was archived.
|
| 3.9 (v28) | 11/15/2021 | The following list was posted:
Medical Specialty Drug List current as of 11/8/2021
|
| 3.8 (v27) | 11/09/2021 | The following lists were posted:
Medical Specialty Drug List current as of 10/8/2021 Medical Specialty Drug List current as of 9/8/2021 (added to archive folder)
|
| 3.7 (v26) | 11/04/2021 | Posted the Medical and Pharmacy Preferred Drug Program list (Commercial) for November 2021. |
| 3.6 (v25) | 10/25/2021 | Posted the revised QUEST Integration Medical and Pharmacy Preferred Drug Program list for October 2021. (Version 3 per filename) |
| 3.5 (v24) | 10/22/2021 | Posted the Medical and Pharmacy Preferred Drug Program list, current as of October 2021. Commercial and QUEST Integration have been separated. The previous list has been archived. |
| 3.4 (v23) | 09/30/2021 | Posted the Medical and Pharmacy Preferred Drug Program list, current as of October 2021. |
| 3.3 (v22) | 09/29/2021 | Added the following list:
Pharmacy Specialty Drug List 9/8/2021 - Current Added a link to the new Pharmacy Specialty archived folder.
Article title update from Specialty Pharmacies and Medical Specialty Drug Lists to Specialty Pharmacies and Specialty Drug Lists.
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| 3.2 (v21) | 09/17/2021 | The following lists were posted:
Specialty Drug List 9/8/2021 - Current Specialty Drug List 8/8/2021 - (added to archive folder)
|
| 3.1 (v20) | 08/12/2021 | The following lists were posted:
Specialty Drug List 8/8/2021 - Current Specialty Drug List 7/8/2021 - (added to archive folder)
|
| 3.0 (v19) | 07/26/2021 | The following lists were posted:
Specialty Drug List 7/8/2021 - Current Specialty Drug List 6/8/2021 - Archived (in archive folder) Specialty Drug List 5/8/2021 - Archived (in archive folder) Specialty Drug List 4/8/2021 - Archived (in archive folder)
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