Drugs with Coverage Limitations and New Drug Review header

Drugs with Coverage Limitations and New Drug Review

Please Note:

  • Date Review Completed and Conclusion columns are blank for those products currently undergoing review. Details will be updated as efficiently as possible following initial review.
  • Conclusions are based upon decisions made at the time reviews are completed; historical information is not updated. Product management is subject to change based on new clinical evidence, provider/public feedback, advisory committee recommendations, financial considerations, etc.
  • This contains approximately one year of New Drug details.
  • Advisory Meeting Month is the month this recommendation will be presented at the quarterly Drug Prior Authorization Committee (DPAC) and Drug Utilization Review (DUR) Board meetings. For meeting dates, please see the MO HealthNet Calendar of Events. Certain agents may also be discussed at the quarterly Rare Disease Advisory Council meeting immediately prior to their presentation at their designated DPAC/DUR meeting.

For more information on this process please view the New Drug Review Process or contact the MO HealthNet Pharmacy Program at MHD.PharmacyAdmin@dss.mo.gov(link sends email) or call 573-751-6963. 

Trade Name Generic Name Date Review Began Date Review Completed Conclusion Advisory Committee Month
SOHONOS 2.5 MG CAPSULE PALOVAROTENE 09/05/2023 January 2024
XDEMVY 0.25% DROP LOTILANER 09/05/2023 January 2024
SOHONOS 5 MG CAPSULE PALOVAROTENE 09/05/2023 January 2024
YCANTH 0.7% SOLUTION CANTHARIDIN 09/05/2023 January 2024
SOHONOS 10 MG CAPSULE PALOVAROTENE 09/05/2023 January 2024
NITROFURANTOIN 50 MG/5 ML SUSP NITROFURANTOIN 09/05/2023 January 2024
AIRSUPRA 90-80 MCG INHALER ALBUTEROL SULFATE/BUDESONIDE 08/29/2023 January 2024
VEOPOZ 400 MG/2 ML VIAL POZELIMAB-BBFG 08/29/2023 January 2024
EYLEA HD 8 MG/0.07 ML VIAL AFLIBERCEPT 08/29/2023 January 2024
AKEEGA 50-500 MG TABLET TALQUETAMAB-TGVS 08/22/2023 January 2024
AKEEGA 100-500 MG TABLET TALQUETAMAB-TGVS 08/22/2023 January 2024
OPVEE 2.7 MG NASAL SPRAY NALMEFENE HCL 08/22/2023 January 2024
IYUZEH 0.005% EYE DROP LATANOPROST/PF 08/15/2023 09/26/2023 PDL Product
YUFLYMA(CF) 40 MG/0.4 ML SYRNG ADALIMUMAB-AATY 08/15/2023 09/26/2023 PDL Product January 2024
OLPRUVA 3 GRAM DOSE ENVELOPE SODIUM PHENYLBUTYRATE 08/08/2023 09/19/2023 PDL Product October 2023