Change in PDL Status for the Bronchodilators, Beta Agonist, Drug Class, Effective Jan. 3, 2025
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VDP removed the non-preferred status from the generic levalbuterol inhalation solution products on the preferred drug list (PDL) effective Jan. 3, 2025, in response to the discontinuation of inhalation solution products with the preferred brand name Xopenex. Providers can prescribe the generic levalbuterol inhalation solution without requiring a PDL prior authorization, allowing clients to continue accessing necessary medication.
The following table lists the generic levalbuterol products with their National Drug Codes (NDCs):
| NDC | Drug Name |
|---|---|
| 00093414556 | LEVALBUTEROL 0.31 MG/3 ML SOL |
| 00115993078 | LEVALBUTEROL 0.31 MG/3 ML SOL |
| 00378969052 | LEVALBUTEROL 0.31 MG/3 ML SOL |
| 35573044325 | LEVALBUTEROL 0.31 MG/3 ML SOL |
| 47335074349 | LEVALBUTEROL 0.31 MG/3 ML SOL |
| 65862094324 | LEVALBUTEROL 0.31 MG/3 ML SOL |
| 76204070001 | LEVALBUTEROL 0.31 MG/3 ML SOL |
| 76204070025 | LEVALBUTEROL 0.31 MG/3 ML SOL |
| 00115993178 | LEVALBUTEROL 0.63 MG/3 ML SOL |
| 00378969152 | LEVALBUTEROL 0.63 MG/3 ML SOL |
| 00093414656 | LEVALBUTEROL 0.63 MG/3 ML SOL |
| 35573044425 | LEVALBUTEROL 0.63 MG/3 ML SOL |
| 47335074649 | LEVALBUTEROL 0.63 MG/3 ML SOL |
| 65862094424 | LEVALBUTEROL 0.63 MG/3 ML SOL |
| 76204080001 | LEVALBUTEROL 0.63 MG/3 ML SOL |
| 76204080025 | LEVALBUTEROL 0.63 MG/3 ML SOL |
| 00093414856 | LEVALBUTEROL 1.25 MG/3 ML SOL |
| 00115993278 | LEVALBUTEROL 1.25 MG/3 ML SOL |
| 00378969252 | LEVALBUTEROL 1.25 MG/3 ML SOL |
| 35573044525 | LEVALBUTEROL 1.25 MG/3 ML SOL |
| 47335075349 | LEVALBUTEROL 1.25 MG/3 ML SOL |
| 65862094524 | LEVALBUTEROL 1.25 MG/3 ML SOL |
| 76204090001 | LEVALBUTEROL 1.25 MG/3 ML SOL |
| 76204090025 | LEVALBUTEROL 1.25 MG/3 ML SOL |
| 00378699393 | LEVALBUTEROL CONC 1.25 MG/0.5 |