Refer to the MCO Resource Information Chart for inquiries about a new, pending, or existing contract with each MCO and pharmacy benefits manager (PBM).
Pharmacy Provider Procedure Manual
- P-1. Introduction
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P-2. Contact Information
- P-2.1. Vendor Drug Program
- P-2.2. Managed Care
- P-2.3. Children with Special Health Care Needs Services Program
- P-2.4. Kidney Health Care Program
- P-2.5. Medicare
- P-2.6. Texas Health and Human Services
- P-2.7. Texas Medicaid and Healthcare Partnership
- P-2.8. DSHS Immunization Program
- P-2.9. Centers for Medicare & Medicaid Services
- P-3. Enrollment
- P-4. Managed Care
- P-5. System Requirements
- P-6. Eligibility
- P-7. Coordination of Benefits
- P-8. Drug Policy
- P-9. Home Health Supplies
- P-10 .Vitamins and Minerals
- P-11. Mosquito Repellent
- P-12. Drug Utilization Review
- P-13. Prior Authorization
- P-14. Pricing and Reimbursement
- P-15. 340B Resources
- P-16. Payment
- P-17. Audits
- P-18. Drug Rebates
- P-19. Documents
- P-20. Forms