Texas Medicaid: State medication and prior authorization updates

To comply with recent state requirements, we’ve added new prior authorization and clinical criteria updates for certain medications.

Beginning Sept. 1, 2025, Yorvipath® will have new prior authorization requirements and Zoryve® will have an additional check for plaque psoriasis added to the clinical criteria.

These changes apply to UnitedHealthcare Community Plan of Texas CHIP, STAR, STAR Kids and STAR+PLUS plans.

Resources

• Yorvipath prior authorization requirements

• Zoryve clinical criteria

Questions?

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