Formulary

Learn more about HHSC’s collaboration with AbbVie to combat Hepatitis C in Medicaid.

The Texas Drug Code Index includes program-specific formularies for Medicaid, the Children’s Health Insurance Program (CHIP), the Children with Special Health Care Needs (CSHCN) Services Program, the Healthy Texas Women (HTW) Program, and Kidney Health Care (KHC) Program. HHSC requires managed care organizations to adhere to the Medicaid and CHIP formularies.

These formularies include:

In addition, other products are available as a pharmacy benefit, including:

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

Some drugs have specific processing requirements: