Express Scripts: Blue Cross and Blue Shield of Texas - Travis (BCBSTX) Service Area Update

Guideliness for Influenza Vaccinations: Applicable Counties: Austin, Bastrop, Bell, Blanco, Burleson, Burnet, Caldwell, Colorado, Comal, Fayette, Gonzales, Guadalupe, Hays, Lampasas, Lavaca, Lee, Llano, Milam, Travis, Washington, and Williamson

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Author: Angie Shirley/Saturday, January 31, 2015/Categories: APCI Choice

Guidelines for Influenza Vaccinations

Please follow the guidelines below to administer influenza vaccinations for Blue Cross and Blue Shield of Texas Medicaid adults and CHIP Perinate mothers (age 18 and older):

  • Follow the Texas State Board of Pharmacy rules related to certification to immunize and vaccinate (Texas Administrative Code, Title 22, Part 15, §295.15).
  • Process these claims using the pharmacy‟s NPI.
  • The pharmacy must be enrolled in the Vendor Drug Program (VDP) and be a member of an Express Scripts network.
  • Use the same billing method as defined for Medicare Part D vaccine administration billing.
  • For Submission Clarification Code field 420-DK, please enter "7"

Please download the PDF file listed below for details

Tags: Express ScriptsinfluenzaESIBlue Cross and Blue ShieldBCBSTXTravisGuidelinessVaccinationsAustinBastropBellBlancoBurlesonBurnetCaldwellColoradoComalFayetteGonzalesGuadalupeHaysLampasasLavacaLeeLlanoMilamWashingtonWilliamson

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