November 13, 2020
Texas Health and Human Services issued the Texas Medicaid Standing Order for Mosquito Repellent for people enrolled in Medicaid, CHIP, and the Healthy Texas Women Program earlier this year. The standing order serves as a prescription and allows pharmacists to dispense mosquito repellent under its terms. People enrolled in these programs do not have to visit their healthcare provider to receive mosquito repellents. Pharmacies should use the standing order instead of contacting the healthcare provider for a prescription for mosquito repellent.
Please recall the following about the mosquito repellant benefit:
- Coverage of mosquito repellants is limited to two cans or bottles per calendar month: dispense one can or bottle per fill, with one optional refill available per calendar month.
- The standing order is valid for one year. Contacting the physician listed on standing order, Dr. Van Ramshorst, is not necessary for refill requests. Pharmacies should not fax refill requests and may use the standing order if a new prescription is required.
- To request a standing order, pharmacies should email email@example.com
More information about the mosquito repellent benefit is available, including the prescription template and claims submission guidelines. The Pharmacy Provider Procedure Manual (PDF) includes the list of covered mosquito repellents.