MedicaidCoverageMedium impact
VDP Delays Addition of Continuous Glucose Monitors to Formulary
Texas Medicaid·TX · Endocrinology, Family Medicine, Internal Medicine +1 more·Pharmacy
We identified it
May 2, 2026
Summary
The Texas VDP (Vendor Drug Program) has indefinitely delayed the addition of continuous glucose monitors to the Medicaid formulary, which was originally scheduled for June 3, 2026. This delay affects coverage and billing for continuous glucose monitors under Texas Medicaid until a new implementation date is announced.
Action Required
Immediately: Billing team should note that continuous glucose monitors remain non-covered under Texas VDP/Medicaid until further notice. Do not submit claims expecting formulary coverage for CGMs. Monitor VDP announcements for future implementation date. Contact vdp-policy@hhs.texas.gov for questions about coverage status.