Blue Review
A newsletter for Medicaid providers

July 2018

Reminder: Year-round Zika Prevention

Due to recent reports of Zika cases in Collin and Williamson counties, we would like to remind you that mosquito repellant is a year-round benefit for Medicaid and Children’s Health Insurance Program (CHIP) members.

Benefit Details

  • Covered programs: Medicaid, CHIP, CHIP-perinatal
  • Eligible members:
    • Pregnant women of any age
    • Females – ages 10 through 55
    • Males – ages 14 and older
  • The pharmacy benefit for approved mosquito repellents is limited to one can/bottle per prescription fill, with up to two fills allowable per calendar month.
  • There is a standing order for mosquito repellent so prescriptions are not needed for your patients unless the standing order is not used by a particular pharmacy.

Access the renewed 2018-2019 Texas Medicaid Standing Order for Mosquito Repellent, which is available for use with the statewide mosquito repellent benefit.

Resources