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Updated “Drugs Requiring NDC for Texas Medicaid and CSHCN Services Program Reimbursement” List
Information posted May 8, 2009: Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program are expanding the list of procedure codes that will be denied if submitted without an 11-digit National Drug Code (NDC). Effective June 1, 2009, claims for the following additional procedure codes must be submitted with an 11-digit NDC: J9206, J2405, J1626, J9178, J3370, J1170, J9293, J9190, and J9062. If these procedure codes are submitted without NDC information, they will be denied, even if they have been prior authorized. Click on the title for more information.

 

The new list, called "Drugs Requiring NDC for Texas Medicaid and CSHCN Services Program Reimbursement," is available on the TMHP website at www.tmhp.com.

The NDC number submitted to Medicaid or the CSHCN Services Program must be the NDC number on the package or container from which the medication was administered.

For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

Texas Medicaid and CSHCN Services Program

Top Physician-Administered Multiple-Source Drugs List

J0640

J9390

J7190

J1100

J7192

J1631

J2430

J9000

J3010

J9040

J1260

J9045

J2550

J9060

J1885

J9217

J0696

J9265

90378

J9206

J2405

J1626

J9178

J3370

J1170

J9293

J9190

J9062

 

 

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