April 3, 2020

VDP temporarily revised the preferred drug list on April 1 to address reported possible drug shortages of products in the inhaled glucocorticoid and hypoglycemic insulin drug classes. The change allows providers to prescribe these drugs without requiring a non-preferred prior authorization and people enrolled in Medicaid continued access to necessary medication. A list of the affected drugs is below. This is a temporary change until the preferred products are sufficiently available in the market. Contact vdp-formulary@hhsc.state.tx.us with questions or for more information.

Inhaled glucocorticoid class

Drug name NDC
Flovent 50 mcg diskus 00173060002
Flovent 250 mcg diskus 00173060102
Flovent 100 mcg diskus 00173060202
Alvesco 80 mcg inhaler 70515071101
Alvesco 160 mcg inhaler       70515071201
Arnuity ellipta 100 mcg inh   00173087410
Arnuity ellipta 200 mcg inh   00173087610
Arnuity ellipta 50 mcg inh    00173088810
Budesonide 0.25 mg/2 ml susp  00093681573
Budesonide 0.5 mg/2 ml susp   00093681673
Budesonide 1 mg/2 ml inh susp 00093681773
Budesonide 0.25 mg/2 ml susp  00115168774
Budesonide 0.5 mg/2 ml susp   00115168974
Budesonide 0.25 mg/2 ml susp  00781751587
Budesonide 0.5 mg/2 ml susp   00781751687
Budesonide 1 mg/2 ml inh susp 00781751787
Budesonide 0.25 mg/2 ml susp  69097031887
Budesonide 0.5 mg/2 ml susp   69097031987
Budesonide 1 mg/2 ml inh susp 69097032187
Budesonide 0.25 mg/2 ml susp  76282064038
Budesonide 0.5 mg/2 ml susp   76282064138
Pulmicort 180 mcg flexhaler   00186091612
Pulmicort 90 mcg flexhaler    00186091706
Qvar redihaler 40 mcg         59310030240
Qvar redihaler 80 mcg         59310030480

Hypoglycemics insulin class

Drug name NDC
Admelog 100 unit/ml vial 00024592410
Admelog solostar 100 unit/ml   00024592505
Admelog 100 unit/ml vial      00024592605
Afrezza 4 unit cartridge      47918087490
Afrezza 8 unit cartridge      47918087890
Afrezza 90-4 unit / 90-8 unit 47918088018
Afrezza 12 unit cartridge     47918089190
Afrezza 4 unit/8 unit/12 unit 47918090218
Apidra 100 units/ml vial      00088250033
Apidra solostar 100 units/ml  00088250205
Basaglar 100 unit/ml kwikpen  00002771559
Fiasp 100 unit/ml vial        00169320111
Fiasp 100 unit/ml flextouch   00169320415
Humalog 200 units/ml kwikpen  00002771227
Insulin lispro 100 unit/ml vl 66733077301
Insulin lispro 100 unit/ml pen 66733082259
Novolin 70-30 100 unit/ml vial 00169183711
Novolin 70-30 flexpen 00169300715
Toujeo solostar 300 unit/ml   00024586903
Toujeo max solostr 300 unit/ml 00024587102
Tresiba flextouch 200 unit/ml 00169255013
Tresiba flextouch 100 unit/ml 00169266015
Tresiba 100 unit/ml vial      00169266211
Tags: 
Drug
PDL