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Pharmacy Drug Utilization Review Board Meeting
Thursday, September 24, 2026 · 1:00 PM EDT
VA
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🏛️general governance
Agenda
COMMONWEALTH of VIRGINIA
Department of Medical Assistance Services
DRUG UTILIZATION REVIEW PROGRAM
Virginia Medicaid Drug Utilization Review (DUR) Board
Thursday, September 10, 2026, 1:00pm
DMAS -- 600 East Broad Street
1. Call to Order and Introductions – Rachel Cain, PharmD, Chair
2. Minutes - Approval of Minutes from the June 11, 2026 meeting
3. DUR Drugs – Grid
a) DUR Traditional Drugs -- Non-Physician Administered Drugs
a) Baxfendy™ (baxdrostat)
b) Hepcludex® (bulevirtide-gmod)
c) Veppanu™ (vepdegestrant)
d) Zycubo® (copper histidinate)
b) Physician Administered Drugs (PADs)
a) Otarmeni™ (lunsotogene parvec-cwha)
4. Topics for Discussion
a) Antipsychotic Medications in Children
b) Antidepressant Medications in Children
c) Mood Stabilizer Medications in Children
d) Anti-anxiety or Sedative Medications in Children
e) Overlaps in Antipsychotics, Antidepressants, Mood Stabilizers and Anti-
anxiety or Sedatives in Children
f) Antipsychotic Medications in Adults Receiving Home and Community-Based
Services and Residing in Institutional Care Settings, such as Nursing Homes
g) Leucovorin Trend Analysis
5. DUR Quarterly Newsletter (June 2026)
COMMONWEALTH of VIRGINIA
Department of Medical Assistance Services
DRUG UTILIZATION REVIEW PROGRAM
6. Prime Therapeutics Quarterly Pipeline – Complete Pipeline available on
WebPortal (July 2026)
7. Reports
a) ProDUR
b) RetroDUR
i. Recent RetroDUR Activity
ii. RetroDUR Criteria Estimates
c) Utilization Analysis Event details
Hosting bodyBoard of Medical Assistance Services
JurisdictionState · Virginia
FormatIn-Person
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