Important Update Actualización importante:

Good news! All CHIP, STAR, and STAR Kids Member Handbooks are now available online. Quick, easy access to your benefits and coverage information - any time!

¡Buenas noticias! Todos los manuales para miembros de CHIP, STAR y STAR Kids ya están disponibles en línea. Obtén acceso rápido y sencillo a la información sobre tus beneficios y cobertura, ¡en cualquier momento!

Medicaid Preferred Drug List and Formulary Changes Cambios en el formulario y la lista de medicamentos preferidos de Medicaid

The Vendor Drug Program (VDP) made changes to the Texas Medicaid drug formulary effective July 24, 2026. To learn more about formulary changes impacted, please click here for more information.

El programa de medicamentos de proveedores de Texas (VDP) ha realizado cambios recientes en el formulario de medicamentos de Medicaid de Texas. Esto entrará en vigencia el 24 de julio de 2026. Para obtener más información sobre los cambios en el formulario afectados, visite el siguiente enlace para obtener más información.

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Correction to December 19, 2024, “Urgent Changes to COVID for the Pharmacy Benefit” Notice

Date: February 27, 2025

Attention: Pharmacies and Primary Care Providers, General Practitioners

Call to action:The purpose for this communication is to inform Texas Children’s Health Plan providers of the changes to COVID and influenza pharmacy benefit. Guidance from Health and Human Services Commission (HHSC) includes the following.

COVID-19 Vaccines: FDA-approved COVID-19 vaccines included on the Vendor Drug Program (VDP) formulary are available for Medicaid members aged 19 and older.

Influenza Vaccines: Influenza vaccines included on the VDP formulary are available for Medicaid members aged 3 and older.

How this impacts prescribers:

Starting January 1, 2025, COVID-19 tests must be prescribed by a licensed provider and are subjected to VDP formulary in order for patients to receive them.

Next step for Providers: Prescribers should share this communication with their staff.

If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org. 

For access to all provider alerts: https://www.texaschildrenshealthplan.org/providers/provider-news/provider-alerts