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3.1.2 Prescription Benefits Processed by the Texas Medicaid/CHIP Vendor Drug Program (VDP)
The VDP processes all prescription drug claims for CSHCN Services Program eligible clients. The following drugs and products are submitted for reimbursement:
• Aerosolized tobramycin (TOBI)*
•Growth hormone products*
•Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) drugs*
•Insulin/insulin syringes
•Medications for home use (including vitamins)
•Pulmozyme*
*Prior authorization is required for these drugs. Requests for prior authorization are submitted to the VDP. To contact the VDP, call 1-800-435-4165.
Note: The CSHCN Services Program may continue to consider qualifying HIV/AIDS drugs for reimbursement under the VDP if the client has a third-party payer only after receiving a denial from the Texas HIV Medication Program and the third-party payer.
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