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Change in PDL Status for Androgenic Agents (Topical), Antiviral (Oral or Nasal), and Growth Hormone Drug Classes Effective October 16, 2023

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In response to the shortage of the preferred brand name products Androgel, Norditropin, Genotropin, and Valcyte solution, the Texas Health and Human Services Commission (HHSC) has made changes to the non-preferred status of several products on the preferred drug list (PDL).

Effective October 16, 2023, the non-preferred status of the following products will be removed:

  • Generic testosterone gel pump products
  • The generic valganciclovir solutions
  • The Omnitrope vial
  • Skytrofa cartridges

Note: These changes will allow providers to prescribe these products without requiring PDL prior authorization.

The tables below list the products with their National Drug Codes (NDCs).

Androgenic Agents (Topical)

NDCDrug Name
00051846233Androgel 1.62% gel pump

Antivirals (Oral or Nasal)

NDCDrug Name
00591257920Valganciclovir HCL 50 mg/mL solution
27241015919Valganciclovir HCL 50 mg/mL solution
31722083710Valganciclovir HCL 50 mg/mL solution
70010005140Valganciclovir HCL 50 mg/mL solution
70069081001Valganciclovir HCL 50 mg/mL solution

Growth Hormones

NDCDrug Name
00781400436Omnitrope 5.8 mg vial
73362000301Skytrofa 3 mg cartridge
73362000401Skytrofa 3.6 mg cartridge
73362000501Skytrofa 4.3 mg cartridge
73362000601Skytrofa 5.2 mg cartridge
73362000701Skytrofa 6.3 mg cartridge
73362000801Skytrofa 7.6 mg cartridge
73362000901Skytrofa 9.1 mg cartridge
73362001001Skytrofa 11 mg cartridge
73362001101Skytrofa 13.3 mg cartridge

Preferred Status Products

The preferred status of the following products will not change to allow all available stock to be used:

  • Androgel products:
    • 00069-0468-56
    • 00069-0471-03
    • 00069-0469-56
  • Genotropin and Norditropin products:
    • 00013262681
    • 00013264681
    • 00013264902
    • 00013265002
    • 00013265102
    • 00013265202
    • 00013265302
    • 00013265402
    • 00013265502
    • 00013265602
    • 00013265702
    • 00013265802
    • 00169770321
    • 00169770421
    • 00169770521
    • 00169770821
  • Brand name Valcyte solution:
    • 00004003909

Email vdp-formulary@hhsc.state.tx.us with comments or questions.