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December 2016 Texas Medicaid Provider Procedures Manual

Appendix B: Vendor Drug Program : B.1 Vendor Drug Program : B.1.8 72-Hour Emergency Supply

Federal and Texas law allows for a 72-hour emergency supply of a prescribed drug to be provided when a medication is needed without delay and prior authorization is not available. This rule applies to non-preferred drugs on the Preferred Drug List (PDL) and any drug that is affected by a clinical prior authorization criteria and needs the prescriber’s prior approval. Some preferred drugs on the Medicaid formulary may also be subject to clinical criteria that require additional prior authorization. Drugs not on the PDL may also be subject to clinical prior authorization criteria.
Refer to:

Texas Medicaid & Healthcare Partnership
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