Pharmacy Benefit
Refer to the Makena section of the Pharmacy Provider Procedure Manual for Makena clinical prior authorization requirements for Medicaid managed care.
Refer to the Makena section of the Pharmacy Provider Procedure Manual for Makena clinical prior authorization requirements for Medicaid fee-for-service.
Medical Benefit
Refer to section 9.5 (Makena) of the Outpatient Drug Services Handbook of the Texas Medicaid Provider Procedures Manual or contact the TMHP Contact Center at 800-925-9126 to learn more about Makena and the compounded version of 17P as a Medicaid medical benefit.