Effective July 29, 2021: Texas Medicaid Preferred Drug List Updates
Date: 07/06/21
On July 26, 2021, Texas Health and Human Services (HHS) will publish the semi-annual update of the Texas Medicaid Preferred Drug List (PDL). This update will take effect July 29, 2021, and will be based on changes presented and approved at the Vendor Drug Program (VDP) Drug Utilization Review (DUR) Board meetings in January and April 2021. Superior HealthPlan follows the Texas Medicaid Vendor Drug Formulary and the PDL.
The tables below summarize some of the anticipated noteworthy changes. For a final updated PDL, please reference the Texas Medicaid Preferred Drug List webpage.
Notable Changes from January 2021 DUR Board Meeting
Drug Name | Current Status | Recommended Status |
|---|---|---|
Gabapentin Capsule (Oral) | No Status | Preferred |
Neurontin Capsule (Oral) | No Status | Non-Preferred |
Adderall XR (Oral) | Non-Preferred | Preferred |
Amphetamine Salt Combo ER (Oral) | Preferred | Non-Preferred |
Aptensio XR (Oral) | Preferred | Non-Preferred |
Concerta (Oral) | Non-Preferred | Preferred |
Dexmethylphenidate ER (Oral) | Preferred | Non-Preferred |
Focalin XR (Oral) | Non-Preferred | Preferred |
Jornay PM (Oral) | Non-Preferred | Preferred |
Enbrel Vial (Subcutaneous) | No Status | Preferred |
Benzoyl Peroxide Lotion OTC (Topical) | Non-Preferred | Preferred |
Erythromycin-benzoyl peroxide (Topical) | Non-Preferred | Preferred |
Imitrex (Nasal) | Non-Preferred | Preferred |
Epaned Solution | Non-Preferred | Preferred |
Notable Changes from April 2021 DUR Board Meeting
Drug Name | Current Status | Recommended Status |
|---|---|---|
Ventolin HFA (Inhalation) | Non-Preferred | Preferred |
Anoro Ellipta (Inhalation) | Non-Preferred | Preferred |
Budesonide 0.25, 0.5 mg Respules (Inhalation) | Non-Preferred | Preferred |
Budesonide 1 mg Respules (Inhalation) | Non-Preferred | Preferred |
Buprenorphine/Naloxone (Tablets and Film), Lucemyra | Non-Preferred | All agents in this class are preferred |
Epogen (Injection) | Preferred | Non-Preferred |
Vanacof DMX Liquid OTC (Oral) | Non-Preferred | Preferred |
Pulmicort 0.25, 0.5 mg Respules (Inhalation) | Preferred | Non-Preferred |
Pulmicort 1 mg Respules (Inhalation) | Preferred | Non-Preferred |
Citranatal B-Calm (Oral) | Preferred | Non-Preferred |
Children's Vitamins With Iron Chew OTC (Oral) | Not rated | Non-Preferred |