March 27, 2020

On March 21, VDP temporarily changed the preferred drug list to address reported drug shortages for short-acting agents in the bronchodilators, beta agonist drug class. This change allows providers to prescribe these drugs without requiring a non-preferred prior authorization and allow people on Medicaid continued access to necessary medication. VDP will continue to update providers on the status these drugs. Contact vdp-formulary@hhsc.state.tx.us with questions or for more information.

NDC Drug Name
00093414556 LEVALBUTEROL 0.31 MG/3 ML SOL
00093414656 LEVALBUTEROL 0.63 MG/3 ML SOL
00093414756 LEVALBUTEROL CONC 1.25 MG/0.5
00093414856 LEVALBUTEROL 1.25 MG/3 ML SOL
00115993078 LEVALBUTEROL 0.31 MG/3 ML SOL
00115993178 LEVALBUTEROL 0.63 MG/3 ML SOL
00115993278 LEVALBUTEROL 1.25 MG/3 ML SOL
00378699393 LEVALBUTEROL CONC 1.25 MG/0.5
00378969052 LEVALBUTEROL 0.31 MG/3 ML SOL
00378969152 LEVALBUTEROL 0.63 MG/3 ML SOL
00378969252 LEVALBUTEROL 1.25 MG/3 ML SOL
00591292754 LEVALBUTEROL TAR HFA 45MCG INH
17478017224 XOPENEX 0.31 MG/3 ML SOLUTION
17478017324 XOPENEX 0.63 MG/3 ML SOLUTION
17478017424 XOPENEX 1.25 MG/3 ML SOLUTION
59310058020 PROAIR RESPICLICK 90 MCG INHLR
63402051001 XOPENEX HFA 45 MCG INHALER   
65862094324 LEVALBUTEROL 0.31 MG/3 ML SOL
65862094424 LEVALBUTEROL 0.63 MG/3 ML SOL
65862094524 LEVALBUTEROL 1.25 MG/3 ML SOL
66993002127 LEVALBUTEROL 0.31 MG/3 ML SOL
66993002227 LEVALBUTEROL 0.63 MG/3 ML SOL
66993002327 LEVALBUTEROL 1.25 MG/3 ML SOL
76204070001 LEVALBUTEROL 0.31 MG/3 ML SOL
76204070025 LEVALBUTEROL 0.31 MG/3 ML SOL
76204080001 LEVALBUTEROL 0.63 MG/3 ML SOL
76204080024 LEVALBUTEROL 0.63 MG/3 ML SOL
76204080025 LEVALBUTEROL 0.63 MG/3 ML SOL
76204090001 LEVALBUTEROL 1.25 MG/3 ML SOL
76204090024 LEVALBUTEROL 1.25 MG/3 ML SOL
76204090025 LEVALBUTEROL 1.25 MG/3 ML SOL
00173068220 VENTOLIN HFA 90 MCG INHALER  
00254100752 ALBUTEROL HFA 90 MCG INHALER 
66993001968 ALBUTEROL HFA 90 MCG INHALER 
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