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Effective 7/25/24: Texas Medicaid Preferred Drug List Updates

Date: 07/30/24

The Texas Health and Human Services Commission (HHSC) will publish the semi-annual update of the Texas Medicaid Preferred Drug List (PDF) on Thursday, July 25, 2024. The update will be based on changes presented at the Vendor Drug Program (VDP) Drug Utilization Review (DUR) Board meetings in January 2024 and April 2024. Superior HealthPlan follows the Texas Medicaid Vendor Drug Formulary and the PDL.

The tables below summarize some of the anticipated noteworthy changes from the January 2024 and April 2024 DUR meetings.

DRUG CLASS

DRUG NAME

CURRENT

STATUS CHANGE ON 7/25/24

ACE INHIBITORS

EPANED SOLUTION (ORAL)

Preferred

Non-Preferred

ENALAPRIL SOLUTION (AG) (ORAL)

Non-Preferred

Preferred

ENALAPRIL SOLUTION (ORAL)

Non-Preferred

Preferred

ANTIDEPRESSANTS- OTHER

ZURZUVAE (ORAL)

Not Rated

Non-Preferred

ANTIMIGRAINE AGENTS, TRIPTANS

SUMATRIPTAN (AG) (NASAL)

Non-Preferred

Preferred

SUMATRIPTAN (NASAL)

Non-Preferred

Preferred

ANTIHYPERURICEMICS

COLCRYS (ORAL)

Preferred

Non-Preferred

MITIGARE (ORAL)

Non-Preferred

Preferred

INTRANASAL RHINITIS AGENTS

IPRATROPIUM (NASAL)

Non-Preferred

Preferred

NASONEX OTC (NASAL)

Not Rated

Preferred

MOVEMENT DISORDERS

AUSTEDO XR (ORAL)

Not Rated

Preferred

AUSTEDO XR TITR PK (ORAL)

Not Rated

Preferred

TETRABENAZINE (ORAL)

Non-Preferred

Preferred

XENAZINE (ORAL)

Preferred

Non-Preferred

STIMULANTS AND RELATED AGENTS

QELBREE (ORAL)

Non- Preferred

Preferred

RELEXXI (ORAL)

Not Rated

Non-Preferred

OPIATE DEPENDANCE TREATMENT

NARCAN SPRAY OTC (NASAL)

Not Rated

Preferred

COUGH AND COLD, NARCOTIC

PROMETHAZINE/CODEINE SYRUP (ORAL)

Preferred

Non-Preferred

HYDROCODONE/HOMATROPINE SYRUP (ORAL)

Non-Preferred

Preferred

ANTIVIRALS

VALCYTE TABLET (ORAL)

Preferred

Non-Preferred

VALGANCICLOVIR TABLET (ORAL)

Non-Preferred

Preferred

LIPOTROPICS, OTHER

EZETIMIBE (ORAL)

Non-Preferred

Preferred

ZETIA (ORAL)

Preferred

Non-Preferred

OPIOD ANALGESIC

TRAMADOL ER (RYZOLT) (ORAL)

Preferred

Non-Preferred

SEDATIVE HYPNOTICS

FLURAZEPAM (ORAL)

Preferred

Non-Preferred

 

Please note: The tables are not the complete list of changes. Please reference the Texas Medicaid PDL for a complete list of recommended medications or visit DUR Board webpage on the Texas Vendor Drug website for all decisions.