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December 2016 Texas Medicaid Provider Procedures Manual

Appendix B: Vendor Drug Program : B.1 Vendor Drug Program : B.1.13 Free Delivery of Medicaid Prescriptions for FFS Clients

B.1.13
Many Medicaid pharmacies across the state offer free delivery of prescriptions to Medicaid FFS clients. To find out which pharmacies offer home delivery, refer FFS clients to the Vendor Drug Program’s pharmacy provider lookup. Click the “Delivers” indicator on the lookup and the returned results will include only those pharmacies that provide a delivery service to Medicaid clients. Contracted Medicaid pharmacy providers are reimbursed a delivery fee that is included in the medication dispensing fee formula. The delivery fee is paid to HHSC-approved pharmacy providers that have certified that delivery services meet minimum conditions for payment of the delivery fee.
The conditions include:
This delivery fee is not applicable for mail-order prescriptions and not available for over-the-counter drugs.
For more information, call the Vendor Drug Pharmacy Benefits Access Help Desk at 1-800-435-4165 and ask for Pharmacy Contracts.

Texas Medicaid & Healthcare Partnership
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