SECTION 354.1831. Covered Drugs

(a) Only those drugs and Limited Home Health Supplies listed in the latest edition of the Texas Drug Code Index (TDCI) are covered by the program and are payable. Venosets, catheters, and other medical accessories are not covered and are not included when claiming for intravenous and irrigating solutions.

(b) The Commission may limit coverage of drugs listed in the TDCI. Procedures used to limit utilization may include prior approval, cost containment caps, or adherence to specific dosage limitations recommended by manufacturers. Limitations placed on the specific drugs are indicated in the TDCI.

Source Note: The provisions of this §354.1831 adopted to be effective November 16, 1987, 12 TexReg 3553; amended to be effective May 1, 1990, 15 TexReg 1840; amended to be effective January 1, 1991, 16 TexReg 776; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4562; amended to be effective June 19, 2003, 28 TexReg 4541; amended to be effective November 16, 2003, 28 TexReg 9802; amended to be effective August 1, 2012, 37 TexReg 4853; amended to be effective April 15, 2019, 44 TexReg 1836