Pharmacy Benefit

Makena requires clinical prior authorization for Medicaid fee-for-service clients.  Pharmacy staff should continue to direct providers to the Texas Prior Authorization Call Center at 1-877-PA-TEXAS (1-877-728-3927) to obtain the prior authorization or complete the Makena Criteria and Prior Authorization Request Form (PDF) for fee-for-service clients.

Medicaid health plans may elect to require the same clinical prior authorization for Makena. Please refer to the appropriate health plan for specific requirements.

Medical Benefit

Makena and the compounded version of 17P will continue to be available as a Medicaid medical benefit. For additional information about the medical benefit, please visit TMHP or call the TMHP Contact Center at 1-800-925-9126.