January 4, 2021

On March 15, 2021, HHSC will revise the desmopressin clinical prior authorization (PDF) by removing the hyponatremia denial criteria. The change will allow approval for people whose hyponatremia has been resolved.

The desmopressin clinical prior authorization is optional for MCOs. The Pharmacy Clinical Prior Authorization Assistance Chart (PDF) shows the prior authorization each MCO uses and how those authorizations relate to the authorizations used for traditional Medicaid claim processing. This chart is updated quarterly. Providers can also refer to the MCO Resources for links to each MCO's list of clinical prior authorizations.

Email vdp-formulary@hhsc.state.tx.us with questions or comments.

Tags: 
Clinical PA