TMPPM 2008 > Appendices > Women's Health Program > Benefits and Limitations

   
 

O.4.2.6 Drugs and Supplies

The only prescription drugs covered under the WHP are contraceptives. Family planning providers can either dispense family planning drugs and supplies directly to the client and bill TMHP, or give clients prescriptions to take to a pharmacy. Family planning drugs and supplies that are dispensed directly to the client are billed to TMHP. Pharmacies under the Vendor Drug Program are allowed to fill the prescription for up to six months at a time, rather than a one-month supply.

The following procedure codes are payable for WHP:

Procedure Code
Fee

1-A4267

$0.22

1-A4268

$2.00

1-A4269

$4.00

1-J1055

$53.48

1-S4993*

$2.80

* Code not payable to physicians.


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