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Updated January 25,2024 : Texas Medicaid Preferred Drug List Updates

Date: 02/02/24

The Texas Health and Human Services Commission (HHSC), published the semi-annual update of the Texas Medicaid Preferred Drug List (PDF) on Thursday January 25, 2024. The update is based on changes presented at the Vendor Drug Program (VDP) Drug Utilization Review (DUR) Board meeting in October 2023. Superior HealthPlan follows the Texas Medicaid Vendor Drug Formulary and the PDL.

DRUG CLASS

DRUG NAME

CURRENT

STATUS CHANGE ON 1/25/24

ANTIPSYCHOTICS

ABILIFY ASIMTUFII (INTRAMUSCULAR)

Not Rated

Non-preferred

ANTIPSYCHOTICS

CAPLYTA (ORAL)

Non-preferred

Preferred

ANTIPSYCHOTICS

INVEGA HAFYERA (INTRAMUSCULAR)

Preferred

Non-preferred

ANTIPSYCHOTICS

LURASIDONE (ORAL)

Non-preferred

Preferred

ANTIPSYCHOTICS

LATUDA (ORAL)

Preferred

Non-preferred

COLONY STIMULATING FACTORS

UDENYCA AUTOINJECTOR (SUBCUTANEOUS)

Not Rated

Non-preferred

EPINEPHRINE, SELF INJECTED

AUVI-Q 0.1MG (INTRAMUSCULAR)

Not Rated

Preferred

EPINEPHRINE, SELF INJECTED

AUVI-Q 0.15MG (INTRAMUSCULAR)

Non-preferred

Preferred

EPINEPHRINE, SELF INJECTED

AUVI-Q 0.3MG (INTRAMUSCULAR)

Non-preferred

Preferred

HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS

JANUMET XR (ORAL)

Non-preferred

Preferred

HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS

JENTADUETO XR (ORAL)

Non-preferred

Preferred

HYPOGLYCEMICS, SGLT2

INPEFA (ORAL)

Not Rated

Non-preferred

HYPOGLYCEMICS, SGLT2

INVOKAMET XR (ORAL)

Non-preferred

Preferred

MACROLIDES

ERYPED 200 SUSPENSION (ORAL)

Preferred

Non-preferred

MACROLIDES

ERYTHROMYCIN ETHYLSUCCINATE 200 SUSPENSION (ORAL)

Non-preferred

Preferred

NSAIDS

CELECOXIB (AG) (ORAL)

Non-preferred

Preferred

NSAIDS

CELECOXIB (ORAL)

Non-preferred

Preferred

OPHTHALMIC ANTIBIOTICS

MOXIFLOXACIN (AG) (VIGAMOX) (OPHTHALMIC)

Non-preferred

Preferred

OPHTHALMIC ANTIBIOTICS

MOXIFLOXACIN (VIGAMOX) (OPHTHALMIC)

Non-preferred

Preferred

OPHTHALMIC ANTIBIOTICS

VIGAMOX (OPHTHALMIC)

Preferred

Non-preferred

 

The tables below summarize some of the anticipated noteworthy changes from the October 2023 DUR meetings. 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.