P-1. Introduction

The Pharmacy Provider Procedure Manual (PPPM) is a comprehensive resource for pharmacy providers enrolled with the Texas Health and Human Services Commission (HHSC). The Texas Vendor Drug Program (VDP) publishes this manual with information about benefits, policies, and procedures for outpatient pharmacy claims and rebates.

The manual contains into the following sections:

  1. Introduction
  2. Contact Information
  3. Enrollment
  4. Managed Care
  5. System Requirements
  6. Eligibility
  7. Coordination of Benefits
  8. Drug Policy
  9. Formulary Coverage
  10. Drug Utilization Review
  11. Prior Authorization
  12. Pricing and Reimbursement
  13. 340B Resources
  14. Payment
  15. Audits
  16. Drug Rebates
  17. Documents
  18. Forms

Copyright Acknowledgments

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