TMPPM 2008 > Appendices > Vendor Drug Program > Vendor Drug Program (VDP)

   
 

E.1.2 Lotions Available Through the Vendor Drug Program

The VDP offers Coats Aloe Vera products to Medicaid and THSteps-Comprehensive Care Program (CCP) clients with a physician's prescription. Coats Aloe Vera products are available in cream, lotion, gel, liniment, and liquid form and they contain no alcohol or fragrances. The product information states that cetyl alcohol is a component. Cetyl alcohol, however, does not have alcohol as a base, does not act like alcohol, but is used as a thickener. The liniment form contains methylsalicylate (wintergreen). The following Coats Aloe Vera creme, lotion, gel, liniment, and liquid products are available from the VDP with a physician's prescription:

TX Drug Code
Name and Strength

58826070108

Coats Aloe Vera

Liquid, 100% (soaking)

58826070128

Coats Aloe Vera

Liquid, 100% (soaking)

58826070202

Coats Aloe Vera

85% Lotion

58826070208

Coats Aloe Vera

85% Lotion

58826070233

Coats Aloe Vera

85% Lotion

58826070304

Coats Aloe Vera

75% Creme

58826070316

Coats Aloe Vera

75% Creme

58826070408

Coats Aloe Vera

Liniment 85%, 11% methylsalicylate

58826070508

Coats Aloe Vera

90% Jelly

58826070533

Coats Aloe Vera

90% Jelly

If a physician does not wish to use these products, the physician is allowed to make a request to THSteps-CCP for another product, with specific documentation of the medical necessity for another product. THSteps-CCP does not provide nonlegend, cosmetic-type skin lotions and cremes.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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