VDP collaborates with the HTW program to determine which Medicaid drugs are included as part of the HTW and HTW Plus formulary.  VDP undertakes a quarterly formulary review, the results of which are submitted to the HTW Program. The HTW program reviews the list of drugs and submits an approved list to the DUR/FM formulary team for inclusion on the HTW formulary. 

Participation in the rebate programs for Healthy Texas Women varies depending on the budget source used to pay for the original claim or encounter eligible for a rebate.

  1. Claims and encounters for clients under 18 (Rebate Programs called TWHP) are paid with State of Texas General Revenue funding.  Participation in this rebate program is voluntary with some exceptions.
  2. Claims and encounters for postpartum clients (Rebate Programs called HTW+) are paid with State of Texas General Revenue funding.  Participation in this rebate program is voluntary with some exceptions.
  3. Claims and encounters for clients 18 and over (Rebate Programs called HTW) are paid with federal funding and are subject to CMS Federal rebate rules.  Participation in this rebate program is mandated if the manufacturer has signed a National Drug Rebate Agreement with CMS. 

Manufacturers with questions related to program formulary coverage, refer to Table 5 for contact information.