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December 2016 Texas Medicaid Provider Procedures Manual

Appendix B: Vendor Drug Program

Appendix B: Vendor Drug Program
Table of Contents
B.1 Vendor Drug Program 3
B.1.1 VDP Benefits for Medicaid Fee-for-Service (FFS) Clients 3
B.1.2 Pharmacy Delivery Method for Clinician-Administered Drugs 4
B.1.3 VDP Formulary Information 4
B.1.4 Obtaining Outpatient Prescribed Drug Prior Authorization for FFS Clients 5
B.1.5 Dispensing Life of Prescriptions 5
B.1.6 Clinician-Administered Drugs 5
B.1.7 VDP Contact Information 6
B.1.8 72-Hour Emergency Supply 6
B.1.9 Cost Avoidance Coordination of Benefits 6
B.1.10 Schedule II Controlled Substances (CII) through Schedule V Controlled Substances (CV) 6
B.1.11 Tamper-Resistant Prescription Pads 6
B.1.12 Requirements for Early Refills of Certain Drugs 7
B.1.13 Free Delivery of Medicaid Prescriptions for FFS Clients 7
B.1.14 Delivery of Medicaid Prescriptions for MCO Clients 8
B.1.15 Pharmacies Can Dispense Home Health Supplies to Medicaid Clients 8
B.1.16 Vitamin and Mineral Products 8
B.2 Medicaid Children’s Services Comprehensive Care Program (CCP) Available for Children and Adolescents 9
B.3 Palivizumab (Synagis) Available Through the VDP 9
B.3.1 Participating Palivizumab Distribution Pharmacies 9

Texas Medicaid & Healthcare Partnership
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