Texas MedicaidMedium ImpactBilling Codes
May 2026 TMPPM Update for Colony Stimulating Factors
Published April 13, 2026Effective May 1, 2026
AI Summary
Texas Medicaid will add filgrastim-txid (Nypozi) with procedure code Q5148 to their covered colony stimulating factors effective May 1, 2026. This biosimilar drug will be covered alongside existing filgrastim and pegfilgrastim options.
Action Required
By May 1, 2026: Billing team must update billing system to include new HCPCS code Q5148 for filgrastim-txid (Nypozi) biosimilar. Add code to drug formulary lists and ensure claims processing system recognizes the new code for Texas Medicaid patients. Contact individual MCOs for specific administrative requirements.
Affected Billing Codes
Q5148
Plan Types
Medicaid
States
TX
Specialties
oncology, hematology