Pharmacy providers and their contracted software companies should refer to the pharmacy payer sheets for specific claim processes. These documents define the required fields for processing a prescription claim and address specific claim-specific policies. While this information should be accessible through your pharmacy software system, pharmacy providers can refer to these payer sheets when questions arise.
Payer name
- Texas Health and Human Services
Processor name
- Conduent-Pharmacy
- Since Jan. 1, 2017
NCPDP Standard version
- National Council for Prescription Drug Programs (NCPDP) D.0
- Since Feb. 1, 2012
Contact information
- Pharmacy Benefits Access Help Desk: 1-800-435-4165
- Pharmacy Provider Procedure Manual