CSHCN Services Program 2010 > Client Benefits and Eligibility > Client Benefits

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. Claims for the following drugs and products can be 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 or go to the following website: www.hhsc.state.tx.us/HCF/vdp/vdpstart.html.

An approved prescribing physician must submit a completed and signed Pulmozyme and TOBI Medical Information Form annually certifying that the client continues to require these medications.

Note: Qualifying HIV/AIDS drugs may be considered for reimbursement under the VDP for clients covered by third-party insurance. A denial from the Texas HIV Medicaid program and the third-party payer must be submitted.