Pharmacy Benefit

Texas covers select mosquito repellents for individuals in the Medicaid (both managed care and fee for service), Children's Health Insurance Program (CHIP), Children with Special Health Care Needs (CSHCN) Services Program, and Healthy Texas Women (HTW) Program.  Pharmacies claims for mosquito repellent must use the appropriate Prescriber NPI as directed in the Zika Pharmacy Claims Processing Table below.

Zika Pharmacy Claims Submission
Prescriber NPI Medicaid CHIP CSHCN HTW
Zika, Zika No No No Yes
Dr. Parikh Yes Yes No Yes
Client's Healthcare Provider Yes Yes Yes Yes

Please refer to the pharmacy notice to learn about claim submission.

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. The Zika Products Pharmacy Assistance Chart (PDF) includes covered products.  The chart may change as additional mosquito repellents are added to formulary.