HHSC provides coverage for over-the-counter (OTC) products for Medicaid clients. Specific coverage exceptions for OTC products include the following items when an OTC is an economical and therapeutic alternative to a prescription drug item:

• Analgesics
• Anti-emetics
• Anti-inflammatory agents
• Anti-parasitics
• Dermatological agents
• Enzyme replacements
• Gastrointestinal agents, including:
  • Antacids
  • H-2 antagonists
  • Laxatives
  • Proton pump inhibitors
• Insulin
• Ophthalmic agents
• Opiate dependence treatments
• Oral contraceptives
• Otic agents
• Respiratory agents

Traditional Medicaid, CSHCN Services Program, and KHC Program

HHSC covers some OTC drugs, except for clients residing in a nursing facility. 

CHIP

Insulin, diabetic supplies, and mosquito repellant are the only covered OTC items.