Texas Medicaid/CHIP Vendor Drug Program
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1 Bexar Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, and Wilson. Aetna Better Health CVS Caremark Amerigroup Express Scripts Aetna Better Health CVS Caremark Amerigroup Express Scripts Molina Healthcare CVS Caremark Amerigroup Express Scripts Community First Health Plan Navitus Community First Health Plan Navitus Dallas Collin, Dallas, Ellis, Hurt, Kaufman, Navarro, and Rockwall. Amerigroup Express Scripts Molina Healthcare CVS Caremark Amerigroup Express Scripts Molina Healthcare CVS Caremark Molina Healthcare CVS Caremark Parkland Navitus Parkland Navitus El Paso El Paso and Hudspeth. El Paso First Premier Navitus Amerigroup Express Scripts El Paso First Navitus Molina Healthcare CVS Caremark Molina Healthcare CVS Caremark Rev. 05/28/2015 Page 1 of 6
2 Harris Austin, Brazoria, Fort Bend, Galveston, Harris, Matagorda, Montgomery, Waller, and Wharton. Amerigroup Express Scripts Amerigroup Express Scripts Amerigroup Express Scripts Community Health Choice Navitus Molina Healthcare CVS Caremark Community Health Choice Navitus Molina Healthcare CVS Caremark Molina Healthcare CVS Caremark Texas Children's Health Plan Navitus Texas Children's Health Plan Navitus Hidalgo Cameron, Duval, Hidalgo, Jim Hogg, Maverick, McMullen, Star, Webb, Willacy, and Zapata. Driscoll Health Plan Navitus Cigna-HealthSpring Catamaran Molina Healthcare CVS Caremark Molina Healthcare CVS Caremark UnitedHealthcare See CHIP RSA Jefferson Chambers, Hardin, Jasper, Jefferson, Liberty, Newton, Orange, Polk, San Jacinto, Tyler, and Walker. Amerigroup Express Scripts Amerigroup Express Scripts Amerigroup Express Scripts Community Health Choice Navitus Molina Healthcare CVS Caremark Community Health Choice Navitus Molina Healthcare CVS Caremark Molina Healthcare CVS Caremark Texas Children's Health Plan Navitus Texas Children's Health Plan Navitus Rev. 05/28/2015 Page 2 of 6
3 Lubbock Carson, Crosby, Deaf Smith, Floyd, Garza, Hale, Hockley, Hutchinson, Lamb, Lubbock, Lynn, Potter, Randall, Swisher, and Terry. Amerigroup Express Scripts Amerigroup Express Scripts FirstCare Navitus FirstCare Navitus Nueces Aransas, Bee, Brooks, Calhoun, Goliad, Jim Wells, Karnes, Kenedy, Kleberg, Live Oak, Nueces, Refugio, San Patricio, and Victoria. Christus Health Plan CVS Caremark Christus Health Plan CVS Caremark Driscoll Health Plan Navitus Driscoll Health Plan Navitus Tarrant Denton, Hood, Johnson, Parker, Tarrant, and Wise. Aetna Better Health CVS Caremark Amerigroup Express Scripts Aetna Better Health CVS Caremark Amerigroup Express Scripts Cigna-HealthSpring Catamaran Amerigroup Express Scripts Cook Children's Health Plan Navitus Cook Children's Health Plan Navitus Rev. 05/28/2015 Page 3 of 6
4 Travis Bastrop, Burnet, Caldwell, Fayette, Hays, Lee, Travis, and Williamson. Blue Cross Blue Shield Express Scripts Amerigroup Express Scripts Blue Cross Blue Shield Express Scripts Sendero Health Plan Navitus Sendero Health Plan Navitus Seton Health Plan Navitus Seton Health Plan Navitus Medicaid RSA Central Bell, Blanco, Bosque, Brazos, Burleson, Colorado, Comanche, Coryell, DeWitt, Erath, Falls, Freestone, Gillespie, Gonzales, Grimes, Hamilton, Hill, Jackson, Lampasas, Lavaca, Leon, Limestone, Llano, Madison, McLennan, Milam, Mills, Robertson, San Saba, Somervell, and Washington. Amerigroup Express Scripts Scott & White (RightCare) Scott & White Prescription Services Superior HealthPlan Medicaid RSA Northeast Anderson, Angelina, Bowie, Camp, Cass, Cherokee, Cooke, Delta, Fannin, Franklin, Grayson, Gregg, Harrison, Henderson, Hopkins, Houston, Lamar, Marion, Montague, Morris, Nacogdoches, Panola, Rains, Red River, Rusk, Sabine, San Augustine, Shelby, Smith, Titus, Trinity, Upshur, Van Zandt, and Wood. Amerigroup Express Scripts Cigna-HealthSpring Catamaran Cigna-HealthSpring Catamaran Rev. 05/28/2015 Page 4 of 6
5 Medicaid RSA West Andrews, Archer, Armstrong, Bailey, Baylor, Borden, Brewster, Briscoe, Brown, Callahan, Castro, Childress, Clay, Cochran, Coke, Coleman, Collingsworth, Concho, Cottle, Crane, Crockett, Culberson, Dallam, Dawson, Dickens, Dimmit, Donley, Eastland, Ector, Edwards, Fisher, Foard, Frio, Gaines, Glasscock, Gray, Hall, Hansford, Hardeman, Hartley, Haskell, Hemphill, Howard, Irion, Jack, Jeff Davis, Jones, Kent, Kerr, Kimble, King, Kinney, Knox, LaSalle, Lipscomb, Loving, Martin, Mason, McCulloch, Menard, Midland, Mitchell, Moore, Motley, Nolan, Ochiltree, Oldham, Palo Pinto, Parmer, Pecos, Presidio, Reagan, Real, Reeves, Robertson, Runnels, Schleicher, Scurry, Shackelford, Sherman, Stephens, Sterling, Stonewall, Sutton, Taylor, Terrell, Throckmorton, Tom Green, Upton, Uvalde, Val Verde, Ward, Wheeler, Wichita, Wilbarger, Winkler, Yoakum, Young, and Zavala. Amerigroup Express Scripts Amerigroup Express Scripts FirstCare Navitus CHIP Rural Service Area (RSA) Anderson, Angelina, Andrews, Archer, Armstrong, Bailey, Baylor, Bell, Blanco, Borden, Bosque, Bowie, Brazos, Brewster, Briscoe, Brown, Burleson, Callahan, Cameron, Camp, Cass, Castro, Cherokee, Childress, Clay, Cochran, Coke, Coleman, Collingsworth, Colorado, Comanche, Concho, Coryell, Cooke, Cottle, Crane, Crockett, Culberson, Dallam, Dawson, Delta, DeWitt, Dickens, Dimmit, Donley, Duval, Eastland, Ector, Edwards, Erath, Falls, Fannin, Fisher, Foard, Franklin, Freestone, Frio, Gaines, Gillespie, Glasscock, Gonzales, Gray, Grayson, Grimes, Gregg, Hall, Hamilton, Hansford, Hardeman, Harrison, Hartley, Haskell, Hemphill, Henderson, Hidalgo, Hill, Hopkins, Howard, Houston, Irion, Jack, Jackson, Jeff Davis, Jim Hogg, Jones, Kent, Kerr, Kimble, King, Kinney, Knox, Lamar, Lampasas, LaSalle, Lavaca, Leon, Limestone, Lipscomb, Llano, Loving, Madison, Marion, Martin, Mason, Maverick, McCulloch, McLennan, McMullen, Menard, Midland, Milam, Mills, Mitchell, Montague, Moore, Morris, Motley, Nacogdoches, Nolan, Ochiltree, Oldham, Palo Pinto, Panola, Parmer, Pecos, Presidio, Rains, Reagan, Real, Red River, Reeves, Robertson, Runnels, Rusk, Sabine, San Augustine, San Saba, Schleicher, Scurry, Shackelford, Shelby, Sherman, Smith, Somervell, Star, Stephens, Sterling, Stonewall, Sutton, Taylor, Terrell, Throckmorton, Titus, Tom Green, Trinity, Upton, Upshur, Uvalde, Van Zandt, Val Verde, Ward, Washington, Webb, Wheeler, Wichita, Wilbarger, Willacy, Winkler, Wood, Yoakum, Young, Zapata, and Zavala. Molina Healthcare CVS Caremark Rev. 05/28/2015 Page 5 of 6
6 Medicare-Medicaid Plan (MMP) Bexar, Dallas, El Paso, Harris, Hidalgo, and Tarrant. MMP PBM MMP PBM MMP PBM Amerigroup Express Scripts Cigna-HealthSpring Catamaran Molina Healthcare CVS Caremark Rev. 05/28/2015 Page 6 of 6
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