Pharmacy Benefit
Medicaid Managed Care
- Medicaid MCOs may require clinical prior authorization for Makena. Prescribing providers should contact the MCO using the Prescriber MCO Assistance Chart (PDF) for its specific requirements and process.
Traditional Medicaid
- Use the prior authorization request and submit to the Texas Prior Authorization Call Center.
Medical Benefit
Refer to the Texas Medicaid Provider Procedures Manual or contact the TMHP Contact Center at 1-800-925-9126 to learn more about Makena and the compounded version of 17P as a Medicaid medical benefit.