Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 1. ADMINISTRATION |
PART 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION |
CHAPTER 354. MEDICAID HEALTH SERVICES |
SUBCHAPTER F. PHARMACY SERVICES |
DIVISION 1. PARTICIPATION |
§ 354.1801. Requirements for Participation |
§ 354.1803. Confidentiality |
§ 354.1805. Nondiscrimination |
§ 354.1807. Access to Records |
§ 354.1809. Denial or Termination of Participation |
§ 354.1811. Sanctions |
§ 354.1813. Placing a Pharmacy Provider on Vendor Hold |
DIVISION 2. ADMINISTRATION |
§ 354.1831. Covered Drugs |
§ 354.1832. Prior Authorization Procedures |
§ 354.1833. Pharmacy Services |
§ 354.1835. Prescriber Identification Numbers |
§ 354.1837. Evidence of Eligibility |
DIVISION 3. MEDICATIONS |
§ 354.1851. Substitution of One Drug for Another in a Prescription |
§ 354.1853. Specialty Drugs |
DIVISION 4. LIMITATIONS |
§ 354.1861. Availability of Funds |
§ 354.1863. Prescription Requirements |
§ 354.1867. Refills |
§ 354.1868. Exceptions in Disasters |
§ 354.1871. Advertising |
§ 354.1873. Freedom of Choice |
§ 354.1875. Limitations on Provider Charges to Recipients |
§ 354.1877. Quantity Limitations |
DIVISION 5. AUDITS |
§ 354.1891. Vendor Drug Providers Subject to Audit |
§ 354.1892. Exception Notification |
DIVISION 6. PHARMACY CLAIMS |
§ 354.1901. Pharmacy Claims |
§ 354.1905. Claim Adjustments |
§ 354.1907. Unacknowledged Claims |
§ 354.1909. Submittal of Special Claims |
§ 354.1911. Electronic Data Transmission Vendors (Switches) |
DIVISION 7. TEXAS DRUG CODE INDEX--ADDITIONS, RETENTIONS, AND DELETIONS |
§ 354.1921. Addition of Drugs to the Texas Drug Code Index |
§ 354.1923. Review and Evaluation |
§ 354.1924. Preferred Drug List |
§ 354.1925. Resubmittal of a Denied Request |
§ 354.1927. Retention and Deletion of Drugs |
DIVISION 8. DRUG UTILIZATION REVIEW BOARD |
§ 354.1941. Drug Utilization Review Board |
§ 354.1942. Conflict of Interest Policy |