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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