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Texas Health and Human Services

Vendor Drug Program
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Latest News

March 22, 2023

  • Implementation of Inhaled Antibiotics Clinical Prior Authorization for Medicaid Fee-For-Service Set for May 2

March 21, 2023

  • Revisions of Antimigraine Agents (Triptans) Clinical Prior Authorization Criteria Scheduled for April 4 (Revised)

March 1, 2023

  • Clinical Prior Authorization Criteria for Calcitonin Gene-Related Peptide Receptor Antagonists Effective April 4

February 22, 2023

  • Revision of Olumiant Clinical Prior Authorization Criteria Scheduled for March 27

February 15, 2023

  • Respiratory Syncytial Virus (RSV) Season Ends on March 1

Read more news

What We Do

  • 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 a pharmacy through the Provider Enrollment and Management System (PEMS)
  • Participate in managed care
  • Enroll a drug with Medicaid
  • Learn about the drugs and products available on the formularies
  • Search for outpatient drugs and products and clinician-administered drugs
  • Find a pharmacy or prescribing provider
  • Access my pharmacy's weekly payment
  • Review clinical prior authorizations or the preferred drug list
  • Submit a 72-hour emergency override claim
  • Reference the Pharmacy Provider Procedure Manual
  • Reference the Drug Manufacturer Manual
  • Attend the Texas Drug Utilization Review Board
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