Medications listed in the tables and non-FDA approved indications included in these retrospective criteria are not indicative of Texas Vendor Drug Program formulary coverage.

Revision History

  • Jan. 26, 2024
  • Jan. 2024
  • Jan. 2022
  • Dec. 2019
  • Dec. 2017
  • Dec. 2015
  • March 2014
  • May 2012
  • July 2010
  • July 2007
  • Jan. 2006
  • Feb. 2003 (initially developed)