STAR Medicaid Pharmacy & Drugs
FirstCare STAR members can access prescriptions through any pharmacy that is contracted with Navitus Health Solutions. Navitus administers prescription benefits for FirstCare STAR Members.
Find Your Pharmacy
FirstCare STAR members can a list of in-network pharmacies by using the tool below.
Navitus Health Solutions, FirstCare's pharmacy benefits manager, has provided this searchable directory to help you locate the closest and most convenient pharmacy for you. Click below to get started.
You can also view your pharmacy directory using the links below:
Formulary
FirstCare uses the state mandated STAR formulary. The formulary is available on the
Texas Medicaid Drug Vendor Drug Program website.
The Texas STAR Formulary is available in paper form without charge. To request a copy, please call FirstCare STAR Customer Service at
1-800-431-7798.
Prior Authorizations
To obtain a prior authorization, providers should call Navitus at 1-877-908-6023. To access drug specific prior authorization forms, please visit the
Navitus website.
- Download the State of Texas Standard Prior Authorization Form.
- If your doctor cannot be reached to approve a prescription, you can get a three-day emergency supply of your medication. Call FirstCare at 1-806-784-4300 for help with your medications and refills.
Pharmacy Provider Manual
To obtain a copy of the Pharmacy Provider Manual, please visit
www.navitus.com.
For Pharmacy questions contact Customer Service at 1-800-431-7798.
Pharmacy Maximum Allowable Cost (MAC) List
To obtain a copy of the MAC List, network pharmacies may visit the Navitus pharmacies website and go to the MAC Program link:
pharmacies.navitus.com
Member Forms
Prescription Mail Order Form
Prescription Mail Order Form (Spanish)
News
Psychiatrist Sought for the Drug Utilization Review Board For additional information
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Bivalent Moderna COVID-19 Booster Vaccine Coverage Update For additional information
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Bivalent Pfizer COVID-19 Booster Vaccine Coverage Update For additional information,
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Hepatitis C Treatment Coverage and PDL Update Scheduled for Jan. 1, 2023 For additional information,
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RSV Summer Season Changes Begin Sept. 1, 2022 For additional information,
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Draft Specialty Drug List Available for Comment, Responses Due Sept. 22, 2022 For additional information,
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July 2022 Preferred Drug List Updated For additional information,
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Drug Regimen Optimization Clinical Prior Authorization to Retire Sept. 12, 2022 For additional information
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Clinical Prior Authorization Assistance Chart Now Available For additional information,
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Clinical Prior Authorization for Xenical No Longer Required After Sept. 12, 2022 For additional information,
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Hepatitis C Treatment Coverage and PDL Update Scheduled for Sept. 1, 2022 For additional information,
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July 2022 Preferred Drug List Now Available For additional information
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Revised VDP Manuals Available For additional information
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July 2022 Drug Utilization Review Board Meeting Summary For additional information
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EXTENDED: Members Sought for the Drug Utilization Review Board until Aug. 1, 2022 For additional information
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July 2022 NDC-to-HCPCS Crosswalk Now Available For additional information
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Novavax COVID-19 Vaccine Coverage Update For additional information
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Prior Authorization Criteria Update for Rinvoq and Cibinqo For additional information
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Semi-annual Medicaid Preferred Drug List Update Coming July 28, 2022 For additional information
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April 2022 Preferred Drug List Decisions Now Available For additional information
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Revised Application for Texas Identification Number Now Available for Pharmacy Enrollment For additional information
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HHSC Pharmacy Prior Authorization System Maintenance Scheduled for Early Morning This Wednesday For additional information
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HHSC to Reject Pharmacy Claims for Inaccurate License Information Beginning Sept. 28, 2022 For additional information
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Agenda for July Drug Utilization Review Board Meeting Now Available For additional information
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Revised VDP Manuals Available For additional information
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Clinical Prior Authorization Criteria Updates for Dupixent, Evrysdi, and Qelbree For additional information
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Pediatric Updates for Moderna & Pfizer-BioNTech COVID-19 Vaccines For additional information
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Medicare Part B and D Indicators Available on Formulary Searches Beginning June 6, 2022 For additional information
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EXTENDED: Members Sought for the Drug Utilization Review Board until July 1, 2022 For additional information
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COVID-19 Drug Veklury (Remdesivir) Update For additional information,
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Clinical Prior Authorization Assistance Chart Now Available For additional information,
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Summer 2022 RSV Season Schedule For additional information,
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Pfizer COVID-19 Vaccine Booster Dose for Children Update For additional information,
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Moderna COVID-19 Vaccine Booster Dose Update For additional information,
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Respiratory Syncytial Virus (RSV) Prophylaxis Season Reopening Across All Regions For additional information,
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Changes for Client Access to Mosquito Repellent Benefit Begin June 1, 2022 For additional information,
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Spikevax COVID-19 Vaccine Coverage Update For additional information,
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Members Sought for the Drug Utilization Review Board For additional information
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Changes for Client Access to Mosquito Repellent Benefit Begin June 1, 2022 For additional information
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Update to the Pharmacy Procedure Manual Now Available For additional information
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Second COVID-19 Vaccine Booster Dose Update For additional information
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Request for Pharmacies to Check That Pharmacy Licenses Are Current in PEMS For additional information
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April 2022 Drug Utilization Review Board Meeting Summary For additional information
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Revision to Makena Authorization Request Form Scheduled for June 10, 2022 For additional information
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January 2022 Preferred Drug List Decisions Now Available For additional information
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Update to the Pharmacy Procedure Manual Now Available For additional information
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March 2022 Specialty Drug List Available For additional information
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Agenda for April Drug Utilization Review Board Meeting Now Available For additional information
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Pharmacy Education Reminder For additional information
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Changes for Client Access to Mosquito Repellent Benefit Begin June 1, 2022 For additional information
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Draft Specialty Drug List Available for Comment For additional information .
Updates to Phosphate Binder Prior Authorization Criteria Scheduled for April 5, 2022 For additional information
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Cytokine and CAM Antagonists Criteria Updates Scheduled for April 5, 2022 For additional information
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Oxbryta Prior Authorization Criteria Updates Scheduled for April 5, 2022 For additional information
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January 2022 Drug Utilization Review Board Meeting Summary For additional information
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Clinical Prior Authorization Assistance Chart Now Available For additional information
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2021-22 Respiratory Syncytial Virus (RSV) Season Ends February 1, 2022 For additional information
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January 2022 Preferred Drug List Now Available For additional information
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Temporary Change in PDL Status for Tetracyclines Drug Class, Effective January 11, 2022 For additional information
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Pfizer-BioNTech COVID-19 Booster Update For additional information
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November 2021 Preferred Drug List Decisions Now Available For additional information
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Pfizer-BioNTech COVID-19 Vaccine Booster Dose Age Change and New Formulation For additional information
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Agenda for January Drug Utilization Review Board Meeting Now Available For additional information
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Managed Care Resources Update For additional information
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COVID-19 At-home Test Kits Available as a Pharmacy Benefit For additional information
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Pfizer Oral COVID-19 Drug, Paxlovid, Added to Formulary For additional information
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Medicaid Pharmacy Benefit Accredited Course, Quick Courses Available For additional information
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You Can Report Drug Shortages to HHSC For additional information
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Merck Oral COVID-19 drug, Molnupiravir, Added to Formulary For additional information
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Change in Age Limit for Pharmacist-Administered Influenza Vaccines For additional information
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Kidney Health Care Adds New Drugs to Formulary For additional information
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COVID-19 Vaccine Booster Update For additional information
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Semi-annual Medicaid Preferred Drug List Update Coming January 27, 2022 For additional information
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Draft of Medication Therapy Management Policy Available for Comment For additional information .
Stimate Nasal Spray National Drug Shortage For additional information
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Pharmacy Services Change of Ownership (CHOW) Interim Process For additional information
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Promethazine Clinical Prior Authorization Criteria Updates Scheduled for December 7, 2021 For additional information
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Dupixent Clinical Prior Authorization Criteria Update Scheduled for January 4, 2022 For additional information
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Clinical Prior Authorization Assistance Chart Now Available For additional information
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November 2021 Drug Utilization Review Board Meeting Summary For additional information
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July 2021 Preferred Drug List Revised December 3, 2021 For additional information
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Removal of Specialist Requirement from Clinical Prior Authorization Criteria Scheduled for January 3, 2022 For additional information
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Agenda for November Drug Utilization Review Board Meeting Now Available For additional information
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Order and Administration of Selected COVID-19 Monoclonal Antibody Therapeutics Reimbursable Through Medicaid Medical Claims System For additional information
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COVID-19 Vaccine Coverage Update: Comirnaty and Pfizer Age Change For additional information
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Removal of Specialist Requirement from Clinical Prior Authorization Criteria Scheduled for January 3, 2021 For additional information
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Coverage of COVID-19 Booster Doses of Moderna and Johnson & Johnson Vaccines For additional information
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October 2021 NDC-to-HCPCS Crosswalk Now Available For additional information
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Updates to Medicaid Preferred Drug List Scheduled for November 15, 2021 For additional information
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Pharmacy Submittal of COVID-19 Vaccine Additional, Booster Doses For additional information
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Nucala Clinical Prior Authorization Update Scheduled for December 14, 2021 For additional information
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Repatha (evolocumab) Prior Authorization Update Scheduled for December 6, 2021 For additional information
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Hepatitis C Drug Rebate Program Procurement Information Now Available For additional information
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HHSC Updates Respiratory Syncytial Virus (RSV) Season Schedule For additional information
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HHSC Issues Stromectol (Ivermectin) Guidance For additional information
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Temporary Change in Texas Pharmacy Prior Authorization Call Center Phone Number For additional information
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Alinia Clinical Prior Authorization Criteria Revision Effective November 23, 2021 For additional information
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Updating Pharmacy Claim Systems for COVID-19 Vaccine Additional Doses For additional information
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2021-22 RSV Assessment and Synagis Authorization For additional information
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Changes to Hepatitis C Prior Authorization Criteria Begin September 1, 2021 For additional information
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Duplicate Therapy Clinical Prior Authorization Criteria Revision Begins October 19, 2021 For additional information
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Respiratory Syncytial Virus and Synagis Authorization During Summer and Winter 2021-2022 For additional information
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July 2021 Drug Utilization Review Board Meeting Summary For additional information
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Atypical Respiratory Syncytial Virus (RSV) Season Advisory For additional information
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April 2021 Preferred Drug List Decisions Now Available For additional information
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July 2021 Preferred Drug List Now Available For additional information
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Changes to Hepatitis C Prior Authorization Criteria Begin September 1, 2021 For additional information
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Trikafta Age Expansion in Cystic Fibrosis Agents Clinical Prior Authorization Begins September 1, 2021 For additional information
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Nucala Clinical Prior Authorization Criteria Update Begins July 12, 2021 For additional information
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Semi-annual Medicaid Preferred Drug List Update Coming July 29, 2021 For additional information
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HHSC to Reopen RSV Season in Select Regions on June 21, 2021 For additional information
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Medicaid Allows Pfizer BioNTech COVID-19 Vaccine for Emergency Use in Adolescents For additional information
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HHSC to Resume Quarterly Specialty Drug List in July 2021 For additional information
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COVID-19 Testing in Pharmacy Reimbursable Through Medicaid Medical Claims System For additional information
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Clinical Prior Authorization Assistance Chart Now Available For additional information
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April 2021 Preferred Drug List Recommendations Now Available For additional information
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COVID-19 Vaccine Administration Rate Change Effective April 1, 2021 For additional information
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January 2021 Preferred Drug List Decisions Now Available For additional information
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Enzymes Clinical Prior Authorization Criteria Revisions Effective June 30, 2021 For additional information
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Frequently Asked Questions about the Medicaid Standing Order for Mosquito Repellent For additional information
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Epidiolex Prior Authorization Revision Scheduled for May 11, 2021 For additional information
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Medicaid Adds Johnson & Johnson COVID-19 Vaccine to Formulary For additional information
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Revised Hepatitis C Drug Prior Authorization Form 1342 For additional information
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January 2021 Preferred Drug List Revised March 5, 2021 For additional information
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Revisions to Cytokine and CAM Antagonists Prior Authorization Criteria Set for May 4, 2021 For additional information
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RSV Season Extended for Counties in Southeast Texas and Gulf Coast Areas For additional information
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Monoclonal Antibody for Asthma Prior Authorization Updates Set for April 6, 2021 For additional information
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Revised Hepatitis C Drug Prior Authorization Forms Now Available For additional information
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Clinical Prior Authorization Updates for Cystic Fibrosis Agents For additional information
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Preferred Drug List Criteria Exception for Macrolides Changes March 15 For additional information
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Renewed Texas Standing Order for Mosquito Repellent Benefit Available For additional information
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Clinical Prior Authorization Assistance Chart Now Available For additional information
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January 2021 Preferred Drug List Now Available For additional information
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Desmopressin Clinical Prior Authorization Revision Begins March 15, 2021 For additional information
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COVID-19 Vaccine NDC Update For additional information
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Dupixent Clinical Prior Authorization Criteria Revision Effective March 15, 2021 For additional information
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Change to Thiazolidinediones Clinical Prior Authorization Begins February 4, 2021 For additional information
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Medicaid Adds Moderna COVID-19 Vaccine to Formulary For additional information
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Medicaid Adds Pfizer BioNTech COVID-19 Vaccine to Formulary For additional information
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July 2020 Preferred Drug List Revised Dec. 16 For additional information
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Semi-annual Medicaid Preferred Drug List Update Coming Jan. 28, 2021 Preferred drugs are medications recommended by the Texas Drug Utilization Review Board. The Texas Preferred Drug List is published every January and July. For additional information click here.