Pharmacy Providers and the Affordable Care Act

June 19, 2015

Texas Medicaid is complying with the provisions of the Affordable Care Act (ACA), which affects the enrollment of Texas Medicaid providers, including pharmacies.  Read more about the ACA changes for pharmacy

Makena Added as a Medicaid Pharmacy Benefit

June 5, 2015

Beginning June 15, Makena® (hydroxyprogesterone caproate injection) will be available as a pharmacy benefit through the Texas Medicaid Vendor Drug Program. More about the Makena pharmacy benefit.

What We Do

The Medicaid/CHIP Vendor Drug Program:

  • Enrolls pharmacy providers that want to provide Medicaid and CHIP services;
  • Manages the State of Texas Medicaid and CHIP formularies;
  • Processes out-patient pharmacy prescription claims for Medicaid fee-for-service, the Texas Women's Health Program, the DSHS Children with Special Health Care Needs (CSHCN) Services Program, and the DSHS Kidney Health Care (KHC) program.

Continuing Education

Watch these multi-part guides to learn about dispensing Texas Medicaid prescriptions, DME, and pharmacy prior authorization:

training videos for pharmacists

Training videos for pharmacy staff 

Chapters include Obtaining a Prior Authorization, Dispensing a 72-hour emergency supply, Confirming eligibility, and Durable medical equipment.

training videos for physicians

Training videos for physicians

Chapters include Preferred Drug List, E-Prescribing (E-Rx), and 72-hour Emergency Prescription Claims.

News Highlights

Hepatitis C Virus Drugs And Clinical Edit Added

April 8, 2015

VDP added two Hepatitis C Virus (HCV) drugs to Medicaid Formulary and implemented a standard HCV clinical prior authorization edit for all HCV drugs on Wednesday, April 8.  More about the Hepatitis C changes.