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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Appendix B: Vendor Drug Program : B.1 Vendor Drug Program : B.1.3 Obtaining Outpatient Prescribed Drug Prior Authorization for FFS Clients

To obtain prior authorization for any VDP medication for FFS clients, prescribing providers or their representatives should call the Texas Prior Authorization Hotline at 1-877-PA-TEXAS (1‑877‑728‑3927). The Hotline is available Monday through Friday, 7:30 a.m. to 6:30 p.m. Central Time. To submit an online VDP prior authorization request for non-preferred drugs, prescribing providers must first register online at For Synagis prior authorization, see subsection B.3, “Palivizumab (Synagis) Available Through the VDP” in this appendix.
Pharmacists cannot obtain prior authorization for medications. If the client arrives at the pharmacy without prior authorization for a non-preferred drug, the pharmacist will alert the provider’s office and ask the provider to get prior authorization.

Texas Medicaid & Healthcare Partnership
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