Change in Preferred Drug List Status for "Immunosuppressives, Oral" Drug Class Takes Effect Feb. 12, 2024

Published on

The manufacturer of brand name Rapamune products confirmed their products will be discontinued on Dec. 31, 2023, and some supplies of the products will remain available until early 2024. Due to this discontinuation HHSC will remove the non-preferred status from the generic sirolimus products on the preferred drug list (PDL). The preferred status of brand name Rapamune products will not change. This will allow existing stock of these medications to be used.

HHSC will remove the non-preferred status for the following drugs, effective Feb. 12. These changes will allow providers to prescribe the generic sirolimus products without requiring a PDL prior authorization and continue accessing necessary medication for clients.

NDCLabel Name
16714018701SIROLIMUS 0.5 MG TABLET
16714018801SIROLIMUS 1 MG TABLET
16714018901SIROLIMUS 2 MG TABLET
55111065301SIROLIMUS 1 MG TABLET
55111065401SIROLIMUS 2 MG TABLET
59762100101SIROLIMUS 0.5 MG TABLET
59762100201SIROLIMUS 1 MG TABLET
59762100301SIROLIMUS 2 MG TABLET
60505619702SIROLIMUS 1 MG/ML SOLUTION
66689034702SIROLIMUS 1 MG/ML SOLUTION
67877074601SIROLIMUS 0.5 MG TABLET
67877074701SIROLIMUS 1 MG TABLET
67877074801SIROLIMUS 2 MG TABLET
68382035101SIROLIMUS 1 MG TABLET
68382035201SIROLIMUS 2 MG TABLET
68382052001SIROLIMUS 0.5 MG TABLET
68462068201SIROLIMUS 0.5 MG TABLET
68462068301SIROLIMUS 1 MG TABLET
68462068401SIROLIMUS 2 MG TABLET
69238159403SIROLIMUS 1 MG/ML SOLUTION