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2012 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 8. Physician : 8.2 Services, Benefits, Limitations, and Prior Authorization : 8.2.40 Medications - Oral

8.2.40
Oral medications that are given in the hospital or physician’s office are a benefit to Texas Medicaid clients through Texas Medicaid. Take-home and self-administered drugs are not benefits of Texas Medicaid and should not be billed to TMHP except when they are provided to eligible Texas Medicaid fee-for-service clients through the Medicaid Vendor Drug Program (VDP) with a prescription.
Refer to:
Appendix B: Vendor Drug Program (Vol. 1, General Information).

Texas Medicaid & Healthcare Partnership
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