TMPPM 2010 > Gynecological and Reproductive Health, Obstetrics, and Family Planning Services Handbook > Titles V, X, and XX Family Planning Services > Services/Benefits, Limitations and Prior Authorization > Title V and XX Drugs and Supplies > Prescriptions and Dispensing Medication

5.3.6.1 Prescriptions and Dispensing Medication

Family planning agencies may do one or both of the following:

•Dispense family planning drugs and supplies directly to the client and bill TMHP.

•Write a prescription for the client to take to a pharmacy.

Family planning drugs and supplies that are dispensed directly to the client must be billed to TMHP. Only family planning agencies may be reimbursed for dispensing family planning drugs and supplies. Family planning agencies may be reimbursed for dispensing up to a one year supply of contraceptives in a 12 month period using procedure code J7303, J7304, or S4993.

Title V, X, and XX clients may have their prescriptions filled at the clinic pharmacy.

Providers who also contract with DSHS for Title V, X, or XX should refer to the DSHS Title V, X, and XX Family Planning Policy Manual for additional guidance on dispensing medication to Title V, X, or XX clients.

Note: Pharmacies under the Medicaid Vendor Drug Program are allowed to fill all prescriptions as prescribed. Family planning drugs and supplies are exempt from the three prescriptions-per-month rule for up to a six month supply.

Refer to: Appendix B: Vendor Drug Program (Vol. 1, General Information) for Information about outpatient prescription drugs and the Medicaid Vendor Drug Program.