MedicaidPrior AuthMedium impact
Updated Pharmacy Clinical Prior Authorization Assistance Chart Now Available
Texas Medicaid·TX·Prior Authorization
We identified it
Jun 20, 2026
Summary
A quarterly update to the Pharmacy Clinical Prior Authorization Assistance Chart is now available, showing which prior authorizations each Medicaid managed care organization uses and how they relate to the Vendor Drug Program requirements. The chart helps identify specific clinical prior authorization requirements that differ between MCOs.
Action Required
Immediately: Access the updated Pharmacy Clinical Prior Authorization Assistance Chart to review current MCO-specific prior authorization requirements. Use the MCO search tool on the VDP website to identify each MCO's clinical prior authorization website and call center phone number. Update pharmacy prior authorization workflows to align with current MCO requirements. Contact vdp-formulary@hhsc.state.tx.us with questions about specific requirements.