Medicaid Clinical Prior Authorization Updates Scheduled

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Medicaid Clinical Prior Authorization Updates Scheduled

The Texas Vendor Drug Program routinely updates existing clinical prior authorization criteria to reflect recent FDA-approved indications or safety information from the product package insert. VDP will make the following changes in the months ahead:

  • Revising the Dupixent (dupilumab) clinical prior authorization on Aug. 24, 2020
  • Revising the Eucrisa (crisaborole) criteria within the Topical Immunomodulators clinical prior authorization on Aug. 24, 2020
  • Revising the Austedo (deutetrabenazine) criteria within the Vesicular Monoamine Transporter 2 (VMAT2) Inhibitors clinical prior authorization on Sept. 21, 2020

These prior authorizations are optional for Medicaid managed care. Specific criteria changes are available online on the VDP website.