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Pharmacy Corner

May 17, 2016

Where to Find Answers to Drug Benefits

Comprehensive information about Community First Health Plans’ (CFHP) pharmacy benefit program is available through the CFHP Member Portal. CFHP uses Navitus Health Solutions to administer the pharmacy benefit. The following information is available from Navitus Health Solutions:

  • Covered drug lists and other formulary information including Tiers and quantity limits
  •  Updates to the formulary
  • Prior authorization forms and criteria
  • Information on how to request a formulary exception
  • A list of in-network pharmacies and specialty pharmacies

Texas Medicaid Vendor Drug Program Preferred Drug List (PDL)

The Texas Medicaid STAR/CHIP Managed Care formulary is defined by the Texas Vendor Drug Program (VDP). VDP publishes a preferred drug list (PDL) every January and July. This list contains all covered medications and requirements for using non-preferred medications. Please visit: http://www.txvendordrug.com/formulary/preferred-drugs.shtml for the most updated version of the preferred drug list. To obtain a paper copy of the formulary, please contact CFHP Clinical Pharmacy Services at (210) 358-6402.