Summary of October 2023 Drug Utilization Review Board Meeting Now Available
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The Texas Drug Utilization Review (DUR) Board met on Thursday, October 12, and Friday October 31, 2023, to recommend Medicaid clinical prior authorizations. A summary of this meeting is now available from the Texas Health and Human Services Commission (HHSC) Vendor Drug Program (VDP) website.
Clinical Prior Authorization Reminders
The following reminders concern clinical prior authorizations:
Each MCO pharmacy website must include a list of its active clinical prior authorizations. Refer to the MCO Search page on the VDP website to find each MCO’s list of clinical prior authorizations.
Preferred Drug List Reminders
The following reminders concern the preferred drug list (PDL):
The board did not review the PDL at this meeting. HHSC will incorporate the approved decisions from October 2023 board meetings into the January 2024 PDL.
Providers should evaluate a drug’s formulary status before its preferred status.
About the Texas DUR Board
Board members meet quarterly in Austin to recommend outpatient prescription drugs for the Medicaid program. A 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.
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