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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Appendix B: Vendor Drug Program : B.1 Vendor Drug Program

The Texas Medicaid Vendor Drug Program (VDP) makes payment for prescriptions of covered outpatient drugs to those pharmacy providers contracted with the VDP. In-state pharmacies licensed as Class A or C by the Texas State Board of Pharmacy are eligible for enrollment in the VDP. Out-of-state pharmacies and pharmacies holding any other class of pharmacy license are considered for inclusion in the program on a case-by-case basis, relative to the benefits made available to a client eligible for Texas Medicaid. Contracts are not granted to applicants unless additional benefits to the recipient are established.
VDP provides statewide access to prescription drugs as prescribed by treating physician or other health-care provider for clients eligible for:
S.B. 7. 82nd Legislature, First Called Session, 2011, requires the Texas Health and Human Services Commission (HHSC) to transition pharmacy benefits to the managed care service delivery model for most clients who are enrolled in Texas Medicaid and Children’s Health Insurance Program (CHIP) statewide. By March 2012, the majority of Texas Medicaid and CHIP clients will receive their pharmacy benefits from a managed care plan. Vendor Drug will remain responsible as claims processor for Medicaid fee-for-service (FFS) clients.
Refer to:
Medicaid Managed Care Handbook (Vol. 2, Provider Handbooks) for additional information about managed care prescription drug and pharmacy benefits.

Texas Medicaid & Healthcare Partnership
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