September 9, 2020

  • Tables below updated Sept. 9 to correct non preferred status for Asmanex HFA.

VDP temporarily removed the non-preferred status on April 1 in response to reported drug shortages for medications in the "Glucocorticoids, Inhaled" drug class. VDP will reverse this change in status because of sufficient availability in the market. VDP made this determination after verifying the current availability of the preferred inhaled glucocorticoid products, as well as the non-preferred inhaled glucocorticoid products through multiple sources such as ASHP, FDA, manufacturers, wholesalers, and pharmacies in various regions around Texas.

Beginning Sept. 18, the formulary will reflect the PDL status changes for all non-preferred inhaled glucocorticoid products. VDP will restore the non-preferred status on the following drugs because of sufficient product availability:

NDC Drug Name
00085222201 ASMANEX HFA 50 MCG INHALER
00085433301 ASMANEX HFA 100 MCG INHALER
00085433401 ASMANEX HFA 200 MCG INHALER
70515071101 ALVESCO 80 MCG INHALER
70515071201 ALVESCO 160 MCG INHALER
00173087410 ARNUITY ELLIPTA 100 MCG INH
00173087610 ARNUITY ELLIPTA 200 MCG INH
00173088810 ARNUITY ELLIPTA 50 MCG INH
00093681573 BUDESONIDE 0.25 MG/2 ML SUSP
00093681673 BUDESONIDE 0.5 MG/2 ML SUSP
00093681773 BUDESONIDE 1 MG/2 ML INH SUSP
00115168774 BUDESONIDE 0.25 MG/2 ML SUSP
00115168974 BUDESONIDE 0.5 MG/2 ML SUSP
00781751587 BUDESONIDE 0.25 MG/2 ML SUSP
00781751687 BUDESONIDE 0.5 MG/2 ML SUSP
00781751787 BUDESONIDE 1 MG/2 ML INH SUSP
69097031887 BUDESONIDE 0.25 MG/2 ML SUSP
69097031987 BUDESONIDE 0.5 MG/2 ML SUSP
69097032187 BUDESONIDE 1 MG/2 ML INH SUSP
76282064038 BUDESONIDE 0.25 MG/2 ML SUSP
76282064138 BUDESONIDE 0.5 MG/2 ML SUSP
00173060002 FLOVENT 50 MCG DISKUS
00173060102 FLOVENT 250 MCG DISKUS
00173060202 FLOVENT 100 MCG DISKUS
00186091612 PULMICORT 180 MCG FLEXHALER
00186091706 PULMICORT 90 MCG FLEXHALER
59310030240 QVAR REDIHALER 40 MCG
59310030480 QVAR REDIHALER 80 MCG

The preferred PDL options are:

NDC Drug Name
00085134101 ASMANEX TWISTHALR 220 MCG #120
00085134102 ASMANEX TWISTHALER 220 MCG #60
00085134107 ASMANEX TWISTHALER 220 MCG #30
00085146102 ASMANEX TWISTHALER 110 MCG #30
00173071820 FLOVENT HFA 44 MCG INHALER
00173071920 FLOVENT HFA 110 MCG INHALER
00173072020 FLOVENT HFA 220 MCG INHALER
00186198804 PULMICORT 0.25 MG/2 ML RESPULE
00186198904 PULMICORT 0.5 MG/2 ML RESPULE
00186199004 PULMICORT 1 MG/2 ML RESPULE
Tags: 
PDL