Resources

Managed Care

Most people enrolled in Medicaid and all people enrolled in the Children’s Health Insurance Program receive prescription drug benefits through the managed care delivery model.

Drug Utilization Review Board

The Texas Drug Utilization Review Board meets quarterly in Austin to develop criteria and standards impacting the Texas Medicaid formulary. The board also develops recommendations for the Texas preferred drug list, suggests clinical prior authorizations for outpatient prescription drugs, recommends educational interventions for Medicaid providers, and reviews drug utilization across the Medicaid program.

Manufacturer Resources

Resources for manufacturers with Texas Medicaid processes for formulary additions, billing, and federal and supplemental rebate programs.

    Downloads

    A comprehensive list of documents and forms.

    • Manuals
    • Documents
    • Forms
    • Data Files

    Reports

    A collection of reports about the Medicaid outpatient pharmacy benefit.