Texas Vendor Drug Program
RSV Season begins October 1
September 19, 2016
The 2016-17 Synagis benefit begins October 1 for some Medicaid- and Children with Special Health Care Needs (CSHCN) Services Program-eligible individuals, and thereafter for others. Start dates are based on the individual's county of residence at the start of the RSV Season. Please reference the RSV Season Schedule for a complete listing of season start dates. Prior authorization forms will begin to be accepted for Fee-For-Service Medicaid and CSHCN individuals beginning September 23, 2016. Medicaid managed care plans will have their own forms and instructions. More about the 2016 Respiratory Syncytial Virus Season.
Texas Zika Pharmacy Benefit Resources
What We Do
- Enrolls pharmacy providers that want to provide Medicaid and CHIP services;
- Manages the Texas Medicaid and CHIP formularies;
- Processes out-patient pharmacy prescription claims for Medicaid fee-for-service, the Children with Special Health Care Needs (CSHCN) Services Program, Healthy Texas Women (HTW) Program, and Kidney Health Care (KHC) Program.
Watch these multi-part guides to learn about dispensing Texas Medicaid prescriptions, DME, and pharmacy prior authorization:
Chapters include Obtaining a Prior Authorization, Dispensing a 72-hour emergency supply, Confirming eligibility, and Durable medical equipment.
Chapters include Preferred Drug List, E-Prescribing (E-Rx), and 72-hour Emergency Prescription Claims.
STAR Kids starts Nov. 1; Pharmacies should sign up with health plans
May 2, 2016:
STAR Kids will be the first Medicaid managed care program specifically serving youth and children who get disability-related Medicaid. Beginning November 1, 2016, children and youth age 20 or younger will receive all of their services, including prescription benefits, through a STAR Kids health plan. 10 managed care organizations will participate in the STAR Kids program. VDP's pharmacy resources for managed care will be updated closer to implementation. More about STAR Kids.