The Texas Drug Utilization Review Board met Friday, July 22, to make recommendations about clinical prior authorizations and drugs on the Texas Medicaid Preferred Drug List. Available online are:
- A recording of this meeting’s webcast
- A report of this quarter’s clinical prior authorization and PDL recommendations
- Approved minutes from the Friday, April 22, meeting
- The PDL drug class review schedule for the Friday, Oct. 21 meeting
Clinical Prior Authorization Updates
Presented:
- Allergen Extracts (PDF)
- Oralair (revised criteria)
- Fintepla (fenfluramine) (PDF)
- New criteria
- Gastrointesinal Mobility (PDF)
- Add new criteria for Ibsrela (tenapanor)
- Monoclonal Antibody Agents (PDF)
- Add new criteria for Xolair (omalizumab)
- Sodium-glucose cotransporter-2 (SGLT2) (PDF)
- Farxiga (dapagliflozin) and Jardiance (empagliflozin)
- Revised criteria
- Farxiga (dapagliflozin) and Jardiance (empagliflozin)
Approved as presented:
- Fintepla (fenfluramine) (PDF)
- New criteria
- Gastrointesinal Mobility (PDF)
- Add new criteria for Ibsrela (tenapanor)
- Monoclonal Antibody Agents (PDF)
- Add new criteria for Xolair (omalizumab)
Approved with recommendations:
- Allergen Extracts – Oralair (PDF)
- Revised criteria
- Step 5: change the lookback time frame for auto-injectable epinephrine to 730 days
- Step 6: change the lookback period to 730 days and add “‘use of combination product (intranasal corticosteroid/intranasal antihistamine) ” to the list of prior therapy
- Revised criteria
- Sodium-glucose cotransporter-2 (SGLT2) (PDF)
- Farxiga (dapagliflozin) and Jardiance (empagliflozin)
- Revised criteria
- Step 3: Changed the lookback time frame for kidney transplant to 730 days
- Revised criteria
- Farxiga (dapagliflozin) and Jardiance (empagliflozin)
Clinical prior authorizations may implement for traditional Medicaid and Medicaid managed care at any time:
- HHSC will notify pharmacy providers and stakeholders once we set an implementation date for traditional Medicaid.
- Refer to MCO Resources for a link to each MCO’s list of active clinical prior authorizations.
- The Pharmacy Clinical Prior Authorization Assistance Chart identifies which prior authorizations are utilized by each MCO and how those relate to those used by the Vendor Drug Program.
Preferred Drug List Updates
Preferred drugs are medications recommended by the board for their efficaciousness, clinical significance, safety, and cost-effectiveness. PDL recommendations are pending until the Texas HHS executive commissioner releases the final decision. HHSC will incorporate the approved decisions from the July and Oct. 2022 board meetings into the Jan. 2023 PDL. MCOs have the same non-preferred prior authorization criteria requirements from following the Texas formulary and PDL.
The July 2022 PDL recommendations are available. Notable changes include:
PDL Class | Drug | Current PDL Status | Recommended Status |
---|---|---|---|
Alzheimer’s Agents | Adlarity (transderm) | Non-reviewed | Non-preferred |
Calcium Channel Blockers | Norliqva (oral) | Non-reviewed | Non-preferred |
Cytokine and CAM Antagonists | Cibinqo (oral) | Non-reviewed | Non-Preferred |
Fluoroquinolones, oral | Cipro suspension (oral) | Non-Preferred | Preferred |
Fluoroquinolones, oral | Ciprofloxacin suspension (oral) | Preferred | Non-Preferred |
Glucocorticoids, oral | Tarpeyo (oral) | Non-reviewed | Non-Preferred |
Immunosuppressives, oral | Tavneos (oral) | Non-reviewed | Non-preferred |
Non-steroidal anti-Infallatory Drugs (NSAIDs) | Diclofenac sodium (oral) | Non-Preferred | Preferred |
Non-steroidal anti-Infallatory Drugs (NSAIDs) | Ketorolac (oral) | Non-Preferred | Preferred |
Non-steroidal anti-Infallatory Drugs (NSAIDs) | Sulindac (oral) | Non-Preferred | Preferred |
Ophthalmic Antibiotics | Vigamox (ophthalmic) | Non-Preferred | Preferred |
Ophthalmic Antibiotic-Steroid Combinations | Tobradex suspension (ophthalmic) | Non-Preferred | Preferred |
Ophthalmics for Allergic Conjunctivitis | Lastacaft, OTC (ophthalmic) | Non-reviewed | Non-Preferred |
Ophthalmics for Allergic Conjunctivitis | Olopatadine, OTC (pataday once daily) (ophthalmic) | Non-Preferred | Preferred |
Ophthalmics for Allergic Conjunctivitis | Olopatadine, OTC (pataday twice daily) (ophthalmic) | Non-Preferred | Non-Preferred |
Rosacea Agents, topical | Epsolay (topical) | Non-reviewed | Non-Preferred |
Skeletal Muscle Relaxants | Fleqsuvy (oral) | Non-reviewed | Non-preferred |
Skeletal Muscle Relaxants | Lyvispah (oral) | Non-reviewed | Non-Preferred |
Ulcerative Colitis | Canasa (rectal) | Non-preferred | Preferred |
Ulcerative Colitis | Mesalamine (Canasa) (AG) (rectal) | Preferred | Non-preferred |
Ulcerative Colitis | Mesalamine (Canasa) (rectal) | Preferred | Non-Preferred |
Ulcerative Colitis | Pentasa (oral) | Non-preferred | Preferred |
Uterine Disorder Treatments (new PDL class) | Myfembree (oral) | Non-reviewed | Preferred |
Uterine Disorder Treatments (ew PDL class) | Oriahnn (oral) | Non-reviewed | Preferred |
Uterine Disorder Treatments (new PDL class) | Orilissa (oral) | Non-reviewed | Preferred |
Single drug reviews
PDL Class | Drug | Current PDL Status | Recommended Status |
---|---|---|---|
Acne Agents, topical | Twyneo, cream (topical) | Non-reviewed | Non-Preferred |
Analgesics, narcotics short | Seglentis (oral) | Non-reviewed | Non-Preferred |
Antivirals, orals | Livtencity (oral) | Non-reviewed | Non-Preferred |
Colony Stimulating Factors | Releuko, syringe (subcutaneous) | Non-reviewed | Non-Preferred |
Colony Stimulating Factors | Releuko, vial (injection) | Non-reviewed | Non-Preferred |
Gastrointestinal (GI) Motility, chronic | Ibsrela, tablet (oral) | Non-reviewed | Non-Preferred |
Hereditary Angiodeema (HAE) Treatments | Takhzyro, syringe (sub-q) | Non-reviewed | Non-Preferred |
HIV/AIDS | Triumeq PD tab suspension (oral) | Non-reviewed | Preferred |
Opiate Dependence Treatments | Zimhi (injection) | Non-reviewed | Preferred |
Additional Updates
DUR Board chair and vice-chair elections:
- Chairman: Alex D. Kudisch. M.D., D.F.A.P.A
- Vice-chair: Jennifer Fix, PharmD.
About the Texas DUR Board
Board members meet quarterly in Austin to make recommendations about outpatient prescription drugs in the Medicaid program. The schedule of upcoming meetings, instructions on how to submit written materials to the board, and directions about publicly testifying before the board are available.