HHSC will expand the Medicaid and CHIP benefit to allow pharmacists to administer certain medications in a pharmacy setting, including the administration of:
- certain long-acting anti-psychotics
- opiate dependence treatments
- emergency treatment for known or suspected opioid overdoses
- flu vaccines
These products will be added to the Medicaid and CHIP formularies. Pharmacies must be reimbursed for the ingredient cost, dispensing fee, and applicable administration fees for certain long-acting anti-psychotics, opiate dependence treatments, and emergency treatment for known or suspected opioid overdose, and ingredient costs and applicable administration fees for flu vaccines.
VDP will publish additional information, including payer sheets, when it becomes available. Pharmacy staff with questions should email email@example.com.