Prescription medications are covered when:
- They are ordered by your provider or another doctor treating you or your child and the drug is listed on the Texas Medicaid Formulary.
- The Texas Medicaid Formulary is a list of approved drugs that doctors can order for you.
- They are ordered or given while you are in an emergency room or hospital.
- They are given while you are in a rest home, nursing home or convalescent hospital.
- They are ordered by a plan doctor for a covered service. They got them through a pharmacy that is in the Molina Pharmacy Network .
Generic drugs have the same ingredients as brand name drugs. To be FDA (government) approved, the generic drug must have the same active ingredient, strength and dosage (formulation) as the brand name drug.
The handbook has information about your CHIP (including CHIP Perinatal). You may get value-added services in your area. Read here.
How do members get care?
Call Member Services at (866) 449-6849 or CHIP RSA (877) 319-6826 Monday to Friday, 8 a.m. - 5 p.m. if:
- You need to ask about a drug.
- You have trouble getting a prescription filled at the pharmacy. (Please do not pay for the prescription.)
- Prescriptions are covered through Molina Healthcare’s contracted pharmacies within Texas. Prescriptions are covered outside of the state of Texas (out of area) for emergency or urgent services only.
- You need an interpreter to communicate with the pharmacy about getting your medication.
- When you have an emergency and need drugs, Molina Healthcare will provide you with up to a 72-hour supply of the drug.
If you are deaf or hard of hearing, call our TTY line at (800) 735-2989 or dial 7-1-1 for service in English or (800) 662-4954 for service in Spanish.