Search

The provisional formulary database file contains the drugs and products available in Medicaid and CHIP with provisional formulary coverage. VDP allows coverage of these drugs and products while VDP reviews the Certificate of Information (COI), the required manufacturer drug application. Drugs on the provisional list may become unavailable if VDP denies the COI. HHSC updates the database weekly.

Users can search the database by submitting a combination of the following fields:

  • Drug name
  • 11-digit NDC
  • Manufacturer name
  • Preferred drug class

Users can also filter findings by selecting the following:

  • By program
    • Medicaid
    • CHIP
  • By identifiers
    • All drugs requiring non-preferred prior authorization
    • All drugs requiring clinical prior authorization in fee-for-service Medicaid
    • All family planning drugs
    • All drugs requiring 90% use before a refill
    • All over-the-counter drugs
    • All injectable drugs
    • All long-acting reversible contraception drugs

Search Results

The search results return the information described below. Users can click the hyperlink in the Brand Name/Generic Name/Package Size column for further details.

  • Brand Name/Generic Name/Package Size
    • Identifies the brand and generic name of the drug and its package size
  • NDC/Manufacturer/Class
    • Identifies the 11-digit NDC number, manufacturer name, and PDL class name
  • Medicaid PA Required
    • Identifies if the NDC has traditional Medicaid clinical prior authorization or Medicaid PDL prior authorization requirements
  • Programs/Coverage Dates
    • Identifies the program name, program start date, and program end date in which the drug is payable

Search Result Details

The details include general drug information, fee-for-service pricing, and program coverage. Drugs requiring fee-for-service clinical prior authorization include a link to the prior authorization criteria document.

A drug with a termination date will appear on the search for 90 days following the termination date.