P-1. Introduction

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

The PPPM is divided 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. Home Health Supplies
  10. Vitamins and Minerals
  11. Mosquito Repellant
  12. Drug Utilization Review
  13. Prior Authorization
  14. Pricing and Reimbursement
  15. 340B Resources
  16. Payment
  17. Audits
  18. Rebates
  19. Documents
  20. Forms