Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program may reimburse providers only for clinician-administered drugs and biologicals whose manufacturers participate in the Centers for Medicare & Medicaid Services (CMS) Drug Rebate Program and that show as active on the CMS list for the date of service the drug is administered.
Clinician-administered drugs that do not have a rebatable NDC will not be reimbursed by Texas Medicaid or the CSHCN Services Program. Please note there may be ingredients in a compound that are not considered a drug under the Federal Food, Drug, and Cosmetic Act.
- Clinician-Administered Drug FAQ (PDF) (Revised 03/2016)
- Clinician-Administered Drug Provider Training (PDF) (Revised 03/2016)
- TMHP: About NDC
- Drug Rebate Programs