Pharmacy Benefit
Texas covers select mosquito repellents for people in the following programs:
- Medicaid (both traditional and managed care)
- Children's Health Insurance Program
- Children with Special Health Care Needs Services Program
- Healthy Texas Women Program
Pharmacy Claims
Claims for mosquito repellent must use the appropriate prescriber National Provider Identifier (NPI) as directed in the Pharmacy Claims Submission table, below.
| Prescriber NPI | Medicaid | CHIP | CSHCN | HTW |
|---|---|---|---|---|
| Zika, Zika | No | No | No | Yes |
| Dr. Glenn (beginning Nov. 1, 2018 | Yes | Yes | No | No |
| Client's Healthcare Provider | Yes | Yes | Yes | Yes |
Covered Products
Covered products have been selected based on guidance from the Centers for Disease Control and Prevention and include the recommended active ingredients that are effective against the Zika virus. Refer to the Mosquito Repellent Products Assistance Chart (PDF) for covered products. The chart may change as additional mosquito repellents are added to the formulary.
News
October 26, 2018
Standing Order Update for Medicaid Mosquito Repellent
Downloads
Notices
- for Clients (English) (PDF)
- for Clients (Español) (PDF)
- for Pharmacies (English) (PDF)
- for Prescribers (English) (PDF)