Traditional Medicaid

Insulin syringes are a benefit only when the syringes are for insulin use.  Insulin syringes prescribed for other injectable drugs should be billed as a Medical benefit through TMHP.  Only the insulin counts toward the person's prescription-per-month limit. Insulin syringes and needles are obtained with a physician's or allowed practitioner's prescription from a participating pharmacy and do not require prior authorization. The pharmacy may submit claims for insulin with a day supply based on stability rather than the actual dose.

KHC Program

Prescriptions for syringes and home health supplies count toward the KHC four prescription-per-month limit.