Pharmacy

Phamacy coverage and costs depends on the program you are in.

Drug Recall

Medicaid pays for most medicines your doctor says you need. Your doctor will write a prescription so you can take it to the drug store, or may be able to send the prescription for you.

List of pharmacies: You can also call Member Services at 1-888-672-2277. You may have to pay if you go to a drug store that is not in our network. For local pharmacies in Dallas SDA, Click Here. The pharmacy can call the Parkland Pharmacist Help Desk’s toll-free number on the back of your/your child’s Parkland HEALTHfirst ID card.

Take your ID card: Remember to take your prescription from the doctor, Your Texas Benefits Medicaid ID card, and your Parkland HEALTHfirst ID card.  Your Parkland HEALTHfirst ID card has your/your child’s Medicaid ID number on it.

Deliver service: Please visit the on-line pharmacy listing OR call Member Services at 1-888-672-2277 for drug stores that offer delivery.

Three day emergency supply: If your/your child’s Primary Care Provider cannot be reached to approve a prescription, your child may be able to get a three-day emergency supply of your/your child’s medication. Call Member Services at 1-888-672-2277 for help with your medications and refills.

Lost medication: Lost or stolen medications are not a covered benefit. You may contact your pharmacy for an early refill and pay the cost of the medication.

Also have Medicare: Let the pharmacy know that you have Medicare and Parkland HEALTHfirst Medicaid when you order your medication. Be sure to take both your Medicare ID card and your Parkland HEALTHfirst ID card to the pharmacy when you pick up your prescription.

Durable medical equipment (DME) or other products normally found in a pharmacy: Some durable medical equipment (DME) and products normally found in a pharmacy are covered by Medicare. For all members, Parkland HEALTHfirst pays for nebulizers, ostomy supplies, and other covered supplies and equipment if they are medically necessary. For children (birth through age 20), Parkland HEALTHfirst also pays for medically necessary prescribed over-the-counter drugs, diapers, formula, and some vitamins and minerals.

Call Member Services 1-888-672-2277 for more information about these benefits.

 

CHIP covers most of the medicine your/your child’s doctor says you need. Your/your child’s doctor will write a prescription so you can take it to the drug store, or may be able to send the prescription for you. Exclusions include contraceptive medications prescribed only for the purpose to prevent pregnancy and medications for weight loss or gain.

You may have to pay a co-payment for each prescription filled depending on your income.

List of pharmacies. You can also call Member Services at 1-888-814-2352 for help. You may have to pay if you go to a drug store not in the network. For local pharmacies in Dallas SDA, Click Here. The drug store can call the Pharmacist Help Desk toll-free number on the back of your/your child’s Parkland KIDSfirst or Parkland CHIP Perinate Newborn ID card.

Take your ID card: Remember to take the prescription from the doctor and your/your child’s Parkland KIDSfirst or Parkland CHIP Perinate Newborn ID card that has your/your child’s CHIP ID number on it.

Deliver service: Please visit the on-line pharmacy listing OR call Member Services at 1-888-814-2352 for drug stores that offer delivery.

Three day emergency supply: If your/your child’s Primary Care Provider cannot be reached to approve a prescription, your child may be able to get a three-day emergency supply of your/your child’s medication. Call Member Services at 1-888-814-2352 for help with your medications and refills.

Lost medication: Lost or stolen medications are not a covered benefit. You may contact your pharmacy for an early refill and pay the cost of the medication.

Over-the-counter medication: The pharmacy cannot give you an over-the-counter medication as part of your/your child’s CHIP benefit. If you need/your child needs an over-the-counter medication, you will have to pay for it.

More than 34 days of a prescribed medication: The pharmacy can only give you an amount of a medication that you need/your child needs for the next 34 days.

Birth control pills: The pharmacy cannot give you/your child birth control pills to prevent pregnancy. You/your child can only get birth control pills if they are needed to treat a medical condition.

For any questions, please call Parkland KIDSfirst Member Services toll-free at 1-888-814-2352.

Federal and Texas laws require pharmacies to dispense a 72-hour emergency supply of a prescribed drug when the medication is needed without delay and the prescriber is not available to complete the prior authorization. This applies to non-preferred drugs on the Preferred Drug List and any drug that is affected by a clinical Prior Authorization needing prescriber’s prior approval.

The pharmacy will submit an emergency 72-hour prescription when warranted. This procedure will not be used for routine or continuous overrides.

For further details about the 72-hour emergency supply requests, please refer to the Texas Vendor Drug Program.