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Pharmacy Benefits 

Commercial HMO

Community First's commercial HMO health plans include a 3-tier prescription drug benefit, which is administered by Community First and our Pharmacy Benefit Manager (PBM), Navitus Health Solutions. NoviXus Pharmacy is the mail order vendor affiliated with Navitus. 

Employers

Employers News

Back to School and Sports Physical

Value-added benefit for STAR, STAR Kids and CHIP members. »


Recoupment Guidance for Managed Care Organizations (MCOs) Required to Use EVV

HHSC issues this guidance to remind MCOs of the agreed upon process to be used when determining appropriate Electronic Visit Verification (EVV) recoupments. »


MCO LTSS Provider Enrollment Process Extended to Sept. 1, 2018

HHSC is providing guidance on how MCOs can verify a provider’s enrollment. »