According to a June 26 Centers for Disease Control and Prevention (CDC) news release, locally acquired malaria cases were identified in Texas. To prevent and control the spread of malaria and other mosquito-borne diseases in Texas, HHSC reminds pharmacies and other providers of the mosquito repellent pharmacy benefit.
HHSC covers mosquito repellents year-round for the prevention of mosquito-borne diseases for clients enrolled in Medicaid, the Children's Health Insurance Program (CHIP), the Children with Special Health Care Needs (CSHCN) Services Program, and the Healthy Texas Women (HTW) Program. Coverage of mosquito repellent is limited to two cans or bottles per calendar month, and all programs require a prescription. Clients can contact their healthcare provider to obtain a prescription for mosquito repellent.
Refer to the Formulary Product search and select the "mosquito repellent" check-box to identify the available products.
Refer to the following HHSC resources for more information about the benefit:
- Mosquito Repellents section of the Pharmacy Provider Procedures Manual
- Texas Medicaid Mosquito Repellent Benefit Quick Course
- Mosquito Repellent Benefit information flyers (for clients and pharmacies)
- Texas HHS: Zika Medicaid Benefit
Refer to the following websites for more information about mosquito-borne diseases: