Scott & White PBM Transition

August 31, 2015

The Scott & White managed care health plan will transition their pharmacy benefits manager to Navitus on September 1. Updates to the assistance charts are now available.

Other news:
Pharmacy Providers and the Affordable Care Act (Jun. 19)

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

Pharmacy Benefit Change for Cough and Cold Products

July 3, 2015

On July 29, VDP will implement an automated process to deny claims for cough and cold products for children under the age of 2 for fee-for-service clients. More about the cough and cold change.

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.