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Label is not found in MDL. of drugs are shown, but there is no label. Wish it said " of NDCs found" (customizable label), followed by the count

Results (if you searched by NDC and your NDC is not shown, those that are shown are generic equivalents)

Code	Description	NDC	Brand Name Generic name	Brand/ Generic/ Repackager	Form & Strength (or Concentration)	Status	Notes

Definition of Status

Icon	Status	Definition
	Covered, no restrictions or limits	The HCPCS Code is reimbursable without restrictions (no age, dose, duration, diagnosis, or TAR requirements). Modifiers may be required, or a drug (such as certain anesthetics) may not be separately billable in all situations. Other requirements or restrictions may apply, such as invoices when pricing is not available or when the drug rate is included in an associated CPT code (surgery, imaging, etc). Please verify with State Medi-Cal provider manuals regarding exact billing instructions.
	Covered, with restrictions and/or limits	The HCPCS is reimbursable when billing requirements/limitations are met (ICD-10, age, dose, duration, etc.). Quantity Limits: While sometimes documentation submitted with the claim is sufficient to override a maximum dose (such as member weight or BSA), other times a TAR is required. Check the MORE INFO notes to see what is required for high doses. A TAR is always required when other limits or requirements are not met (provider type, ICD-10, Age, dosing frequency/duration). NOTE TO PHC STAFF: Internal manual overrides (EB, EB Notes) are needed when approving a TAR and one or more limits/restrictions are not met.
	Medical Benefit, TAR required	The HCPCS/drug requires an approved TAR for reimbursment; approval is guided by PHC drug-specific TAR criteria. These criteria have been developed and approved by the PHC Pharmacy and Therapeutics and Physician Advisory Committees.
	Medical Exception, case-by-case	Medical Exceptions (ME) may be made when the submitted TAR includes the documentation necessary for establishing medical necessity; case-by-case requirements, such as Antineoplastic agents, Antivirals, Antibiotics, and Antifungals. The case-by-case guidelines apply when the PHC Pharmacy and Therapeutics Committee has not yet established drug-specific criteria/ requirements.
	Self-Administered Drugs	These are drugs/codes which are usually ordered by prescription and dispensed directly to a member by a pharmacy through the pharmacy benefit (Medi-Cal Rx) for the member to use at home. However, when necessary for a medical provider to provider the drug service in a medical setting, a TAR may be submitted for medical necessity review on a case-by-case basis for medical claim reimbursement. There must be a clinical need for the dose(s) to be administered in office in lieu of member filling at the pharmacy. For all drugs in this group, Standard TAR Requirements for Self-Administered Drugs will apply. Some drugs also have drug-specific clinical criteria that must be met along with the Self-Administered Drug criteria.
	Not Covered (per DHCS)	The drug/HCPCS code is not reimbursable based on State Plan, State Plan Amendment(s), Title 22, or All Plan Letters (APLs). This includes (but is not limited to): drugs used to treat erectile dysfunction, infertility, or other sexual dysfunction, and drugs used for cosmetic indications. Because these drugs do not meet the State Medi-Cal definition for medical necessity, TAR exceptions are not allowed. Medical Necessity is defined as: Treatment that is reasonable and necessary to protect life, to prevent significant illness or significant disability, or to alleviate severe pain. Welfare and Institution Code 14059 S(a).
	Carved-out to State Medi-Cal Fee-for-Service	These drugs/HCPCS codes are those that are carved out of the PHC Medi-Cal benefit due to being in a carved-out medication class: Antihemophilic blood factor products, certain medications for behavioral health (eg, antipsychotics, some antidepressants), antiviral agents for HIV/AIDS, and those used for the treatment of alcohol and opiate addiction/dependence (buprenorphine, naloxone, disulfiram). In the case of the latter, some medications for the treatment of substance abuse disorder may be a PHC benefit for members enrolled in the PHC Wellness & Recovery benefit (W&R), when provided by a treating W&R facility.
	Obsolete HCPCS Code	These are codes that have been deactivated by CMS & DHCS, except for retro claims where the date of service falls within the valid date range prior to the code's obsolete date. Notes or the code description will guide users to the current code for the drug.
	Code Not Used by PHC	The CMS billing codes shown in this group are not in use by PHC at this time - but the drug itself is reimbursable using a PHC-preferred code. Read the notes to see what billing code to use instead for PHC claims.

Definition of Restrictions

Icon	Restriction	Definition
	Additional Coverage Notes 1	Click on the symbol to see coverage explanation/information.
	Additional Coverage Notes 2	Click on the symbol to see additional coverage explanation/information.
	Additional coverage notes 3	Click on the symbol to see additional coverage explanation/information.
	Age Restriction	Drug is limited to certain age groups, click on the symbol for details.
	Biosimilar product	This is a biosimilar drug. Click the symbol to see the originator brand name drug.
	Coverage Change News	Upcoming or recent coverage requirements are noted.
	Frequency, Duration or other limits	Click on the symbol to see frequency of dose or claim interval limitations.
	ICD-10 Requirement(s)	Click on the symbol to see which indications (ICD-10s) do not require a TAR.
	Non-benefit notes	Rationale as to why drug isn't covered.
	Prescriber Note	NDC's inactive date & payable through date
	Prior Authorization	Click on the symbol to access PHC TAR Requirements (prior authorization criteria). PHC Medical Drug TAR form
	Prior Code or Status Information	Previous billing code or prior status for retroactive requests or other historical purposes.
	Quantity Limit	Click on the symbol to see the maximum units allowed per day.
	Quantity Limit (over time)	Click on the symbol to see the maximum units allowed per stated time period.
	Requirements if QL exceeded	Click on the symbol to see what must be submitted if the dose is over the stated quantity limit.
	User Field 2	Use for additional T8 NDC coverage info if needed.