MedicaidPrior AuthLow impact
MAB2025110706
Pennsylvania Medicaid (DHS)·PA · Dermatology, Family Medicine, General Practice +3 more·Provider Bulletin
Effective date
Jan 5, 2026
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) is updating prior authorization guidelines for topical antiparasitic medications, removing discontinued Lindane from the requirements. Non-preferred topical antiparasitics will still require prior authorization with documentation of therapeutic failure or contraindication to preferred drugs.
Action Required
Before January 5, 2026: Pharmacy and prescribing staff should review updated Pennsylvania Medicaid preferred drug list for topical antiparasitics at papdl.com. Ensure prior authorization requests for non-preferred topical antiparasitics include documentation of therapeutic failure, contraindication, or intolerance to preferred medications. Note that Lindane is no longer included in guidelines as it was discontinued in 2021.