July 2020 Preferred Drug List
- Preferred Drug List and Prior Authorization Criteria (PDF)
- Published July 27, effective July 30; updated Dec. 16
Preferred drugs are medications recommended by the Texas Drug Utilization Review Board for their efficaciousness, clinical significance, cost effectiveness, and safety. The Texas Medicaid Formulary contains all formulary products, including those on the preferred drug list, available to people enrolled in Medicaid. Preferred products are available without prior authorization, although they may be subject to clinical prior authorization. Drugs identified as non-preferred on the PDL require a prior authorization. Medicaid managed care plans are required to follow the PDL. The preferred drug list is published every January and July, and is also available through Epocrates.
Obtaining Prior Authorization
Prescribing providers or their representatives should contact one of the following authorization authorities to obtain non-preferred prior authorization:
Medicaid Managed Care
- Refer to the Prescriber MCO Assistance Chart (PDF) for each MCO's prior authorization and member call center telephone numbers. The MCO must notify the prescribing provider of authorization approval or denial within 24 hours of the time of the request.
- The Texas Prior Authorization Call Center accepts prior authorization requests by phone at 1-877-PA-TEXAS (1-877-728-3927) or online through PAXpress.
|Preferred Drug List and Prior Authorization Criteria (PDF)||Jan. 30, 2020|
|Preferred Drug List and Prior Authorization Criteria (PDF)||July 25, 2019|
January 5, 2021
January DUR Board Meeting Registration and Testimony Instruction
January 4, 2021
Having Trouble Viewing or Downloading a Form?
December 18, 2020
July 2020 Preferred Drug List Revised Dec. 16
December 17, 2020
Semi-annual Medicaid Preferred Drug List Update Coming Jan. 28