SECTION 355.8547. Reimbursement for Compound Prescriptions

Reimbursement for compounded prescriptions is based on acquisition cost of the ingredients used, verifiable by invoice audit, plus HHSC's currently established professional dispensing fee per prescription or the usual and customary price charged to the general public, whichever is lower. Only drugs listed in the latest revision of the Texas Drug Code Index are considered for reimbursement. There is no provision for a compounding fee over and above the professional dispensing fee.

Source Note: The provisions of this §355.8547 adopted to be effective November 16, 1987, 12 TexReg 3553; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; amended to be effective October 27, 1997, 22 TexReg 10317; transferred effective September 1, 1997, as published in the Texas Register December 11, 1998, 23 TexReg 12660; amended to be effective May 15, 2016, 41 TexReg 3300