Texas now covers mosquito repellents for the prevention of Zika virus. The following notice describes claims processing, eligibility, and benefit information specific to the mosquito repellent benefit for the below programs.

Covered Programs:

• Medicaid
• Children's Health Insurance Program (CHIP) and CHIP- Perinate
• Healthy Texas Women

*Please see attached PDF for more information.

Per Novo Nordisk, untreated hypoglycemia can lead to serious effects such as unconsciousness and seizures. If blood glucose levels are not quickly restored, hypoglycemia can lead to cognitive dysfunction, sweating, tremors, convulsion, coma, and possibly death.

Please see attached PDF for more information. 

As a reminder, effective September 1, 2016, CVS Caremark® began to administer the prescription benefits for Passport Health Plan. Please update or create plan member profiles to reflect the following changes regarding the new plan adjudicating through CVS Caremark.

Please see attached PDF for more information.

Paramount Advantage is an existing client with CVS Caremark®. Effective for dates of service on or after June 6, 2016, Ohio Medicaid covers insect repellent in response to the urgent public health issue associated with the Zika virus. Insect repellent is covered for any Medicaid consumer when appropriate to aid in preventing infection with the Zika virus. A prescription for insect repellent from an eligible Medicaid prescriber is required for coverage.

Please see attached PDF for more information.

Effective March 1, 2016, ALL KIDS, a group under BlueCross and BlueShield of Alabama, has added vaccine coverage for their Covered Persons. ALL Kids Covered Persons may have the option to receive vaccinations for influenza, Pneumovax®, Tetanus, Diphtheria and Pertussis when administered by a pharmacist at a participating pharmacy location and permissible by law.

Covered Persons simply present their ID card to a Participating Pharmacy to receive their vaccinations at no charge. Participating Pharmacies within this network are reimbursed an administration fee in addition to the cost of the vaccine product. Participating Pharmacies must submit the Vaccine claim to Prime electronically (online), which includes the applicable ingredient cost, dispensing fee and vaccine administration fee as a single claim.

Please see attached PDF for more information.