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AMA/ADA End User License Agreement
LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT® ")

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Change in Preferred Drug List Status for Generic Levalbuterol Inhalation Solution Effective October 31, 2023

Last updated on 11/2/2023

In response to the shortage of inhalation solution products with the preferred brand name Xopenex, the Texas Health and Human Services Commission (HHSC) has removed the non-preferred status from the generic levalbuterol inhalation solution products on the preferred drug list (PDL) effective October 31, 2023. Providers can now 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
00093414656	Levalbuterol 0.63 MG/3 ML SOL
00093414756	Levalbuterol ROL CONC 1.25 MG/0.5
00093414856	Levalbuterol 1.25 MG/3 ML SOL
00115993078	Levalbuterol L 0.31 MG/3 ML SOL
00115993178	Levalbuterol 0.63 MG/3 ML SOL
00115993278	Levalbuterol 1.25 MG/3 ML SOL
00378699393	Levalbuterol CONC 1.25 MG/0.5
00378969052	Levalbuterol 0.31 MG/3 ML SOL
00378969152	Levalbuterol 0.63 MG/3 ML SOL
00378969252	Levalbuterol 1.25 MG/3 ML SOL
35573044325	Levalbuterol 0.31 MG/3 ML SOL
35573044425	Levalbuterol 0.63 MG/3 ML SOL
35573044525	Levalbuterol 1.25 MG/3 ML SOL
47335074349	Levalbuterol 0.31 MG/3 ML SOL
47335074649	Levalbuterol 0.63 MG/3 ML SOL
47335075349	Levalbuterol 1.25 MG/3 ML SOL
65862094324	Levalbuterol 0.31 MG/3 ML SOL
65862094424	Levalbuterol 0.63 MG/3 ML SOL
65862094524	Levalbuterol 1.25 MG/3 ML SOL
76204070001	Levalbuterol 0.31 MG/3 ML SOL
76204070025	Levalbuterol 0.31 MG/3 ML SOL
76204080001	Levalbuterol 0.63 MG/3 ML SOL
76204080025	Levalbuterol 0.63 MG/3 ML SOL
76204090001	Levalbuterol 1.25 MG/3 ML SOL
76204090025	Levalbuterol 1.25 MG/3 ML SOL
00093414656	Levalbuterol 0.63 MG/3 ML SOL

Note: The preferred status of inhalation solution products with the brand name Xopenex will not change, so any available stock may still be prescribed. These Xopenex products have the following NDCs:

17478017224
17478017324
17478017424

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