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April 2021 Drug Utilization Review Board Meeting Summary

Last updated on 5/28/2021

The Texas Drug Utilization Review (DUR) Board met on April 23, 2021, to make recommendations for Medicaid clinical prior authorizations and the preferred drug list. A summary of this meeting is now available on the Texas Vendor Drug Program (VDP) website.

Clinical Prior Authorization Reminders

The following are reminders for clinical prior authorizations:

Preferred Drug List Reminders

The following are reminders about the Preferred Drug List (PDL):

  • All PDL recommendations are pending until the Texas Health and Human Services Commission (HHSC) executive commissioner releases the final decision. HHSC will incorporate the approved decisions from the January and April 2021 board meetings into the PDL published in July 2021.
  • Prescribing providers must use the Medicaid formulary and PDL.
  • MCOs adhere to the Medicaid formulary and PDL. Providers should evaluate a drug’s formulary status before its preferred status.

About the Texas DUR Board

The board next meets on Friday, July 23, 2021. Board members meet quarterly in Austin to recommend outpatient prescription drugs in the Medicaid program. The schedule of upcoming meetings, instructions on submitting written materials to the board, and directions about publicly testifying in front of the board are available on the VDP website.

Contact vdp-advisory@hhsc.state.tx.us with comments or any questions.