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Cold and flu season Temporada de influenza y resfriados

ALERT: Stay healthy this cold and flu season! Learn more

ALERTA: ¡Mantente sano durante esta temporada de influenza y resfriados! Más información

New Website! ¡Nuevo sitio web!

ALERT: We have made the Texas Children’s Health Plan website even easier to use! Click here to learn more.

ALERTA: ¡Ahora el sitio web de Texas Children’s Health Plan es aún más sencillo de usar! Haz clic aquí para más información.

Enfamil shortage updates Escasez de Enfamil Reguline

ALERT: Shortage of Enfamil products until October 31, 2024. Learn more.

ALERTA: Escasez de productos de Enfamil hasta el 31 de octubre de 2024. Más información.

Change Healthcare Incident Change Healthcare incidente

Do you know how to access the Texas Children’s Health Plan formulary?

[vc_row][vc_column][vc_column_text]Texas Children’s Health Plan follows the State of Texas Medicaid and CHIP formulary that is managed by the Texas Medicaid/CHIP Vendor Drug Program. Prescribers and their staff can easily access the formulary online at: http://www.txvendordrug.com/formulary/index.asp. By visiting this website, you can search for either a drug or product by either NDC, brand name, generic name, or class.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image="4207" img_size="full" style="vc_box_rounded" css_animation="appear" label=""][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]The results will show:
  • Drug Program Type (Drugs covered by Medicaid(STAR) will display a V, Drugs covered by CHIP will display a P)
  • Drug Name
  • Generic Name
  • NDC number that is covered in the Texas Medicaid Formulary
  • Package Size
  • Authorization requirements
    • PDL (Preferred Drug List) PA requirements –
    • Drugs that do not require a PDL PA are on the Medicaid formulary and are a preferred product
    • Clinical PA requirements Drugs that require a clinical prior authorization will need supporting documentation submitted for prior authorization. Forms for prior authorization can be found on
www.navitus.com/texas-medicaid-star-chip/prior-authorization-forms.aspx.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image="4208" img_size="full" style="vc_box_rounded" css_animation="appear" label=""][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]In addition, prescribers can also access the Texas Medicaid and CHIP formularies through ePocrates. ePocrates provides clinical drug reference information to practitioners. If you are interested in using ePocrates to access the formularies, complete the following steps: 1. Register on the ePocrates website: www.epocrates.com. 2. Select the ePocrates software you would like to download—ePocrates Rx®, ePocrates Rx Pro™, ePocrates Essentials™, or ePocrates Essentials Deluxe™. You can also access the ePocrates online system directly through your internet browser by clicking on “EPocrates Online” in the upper right hand corner of the home page. 3. Click on the link, “Edit Formularies.” 4. Select Texas Medicaid and Texas CHIP Formulary from the list of formularies and click on the button, “Add” Using the preferred products on the VDP formulary will ensure prescriptions will be filled without the need for follow up or delay. If you would like additional information about accessing the Texas Children’s Health Plan formulary call our provider relations department at 832-828-1008 or toll-free at 1-800-731-8527.[/vc_column_text][/vc_column][/vc_row]