What We Do
- Enroll pharmacy providers that want to provide Medicaid and CHIP services
- Manage the state Medicaid and CHIP formularies
- Process out-patient pharmacy claims for people enrolled in traditional Medicaid, the Children with Special Health Care Needs Services Program, the Healthy Texas Women Program, and Kidney Health Care Program
I want to...
- Enroll my pharmacy with Texas Medicaid
- Participate in Medicaid managed care
- Access my weekly payment
- Search for covered drugs and products
- Review clinical prior authorizations or the preferred drug list
- Submit a 72-hour emergency override
- Find a pharmacy or prescribing provider
- Verify client eligibility
- Review the Pharmacy Provider Procedure Manual
- Learn about the Texas Drug Utilization Review Board
- Receive email notices from Texas Medicaid
- Contact the Vendor Drug Program