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2.1.2 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 a denial from the Texas HIV Medication Program and the third-party payer is received by the CSHCN Services Program.
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