Formulary

The Texas Drug Code Index includes program-specific formularies for the following programs:

• Medicaid
• Children’s Health Insurance Program (CHIP)
• Children with Special Health Care Needs (CSHCN) Services Program
• Healthy Texas Women (HTW) Program
• Kidney Health Care (KHC) Program

Managed care organizations are required to adhere to the Medicaid and CHIP formularies.  These formularies include all legend and over-the-counter drugs.  In addition, some vitamins and minerals and home health supply products are also available as a pharmacy benefit.  

Some drugs on the Medicaid formulary are subject to one or both types of prior authorization, clinical and non-preferred.

Both the Texas Medicaid formulary and preferred drug list are available on the Epocrates drug information system

Downloads

• Drug Addition Process (PDF)
• Texas Drug Code Index Certification of Information (HHS Form 1326)
• Drug Shortage Notification (HHS Form 1315)