Texas Pharmacy Benefit Management Program

April 21, 2017: HHS will renew the mosquito repellent benefit for 2017 for statewide use effective May 1, 2017.  Pharmacy staff should refer to the pharmacy notice to learn about claim submission.

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 prescription claims for individuals enrolled in traditional Medicaid, the Children with Special Health Care Needs (CSHCN) Services Program, the Healthy Texas Women (HTW) Program, and Kidney Health Care (KHC) program.