Prescriptions
Texas Children’s Health Plan does not
provide your prescription drugs. The CHIP Prescription Drug
Benefit (PDB) covers prescription drugs.
You can take your child’s
prescription to any pharmacy taking part in the CHIP PDB. Call
Vendor Drug if you need help finding a pharmacy. Their number is
1-866-274-9154.
When you go to the pharmacy, take
your child’s Texas Children’s Health Plan ID card with you. The
pharmacy will ask for the ID card. The card is needed to verify
that your child is a CHIP member.
You may have to pay a co-payment for
the prescription. A prescription for a generic drug may cost you
nothing or cost very little. The co-payment for a brand-name drug
will be higher. If your doctor prescribes a drug for a whole
month, you will make one co-payment for a
34-day supply. In most
cases you cannot get more than a 34-day supply. The CHIP PDB
does not offer drugs by mail order.
The CHIP PDB does not cover:
- Over-the-counter drugs.
- Birth control medications
prescribed only for birth control purposes.
- Nutritional products.
- Medical supplies or equipment,
except for insulin syringes.
- Drugs that must be given in a
physician’s office or health care facility.
Call the CHIP Prescription Hotline
if you have problems getting prescriptions filled. Their number
is 1-866-274-9154.
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