Formulary
FirstCare uses the state mandated STAR formulary. The formulary is available on the
Texas Medicaid Drug Vendor Drug Program website.
Click here to download the
PDF of the Texas STAR Formulary.
The Texas STAR Formulary is available in paper form without charge. To request a copy, please call FirstCare STAR Customer Service at
1-800-431-7798.
Prior Authorizations
To obtain a prior authorization, providers should call Navitus at 1-877-908-6023. To access drug specific prior authorization forms, please visit the
Navitus website.
Pharmacy Provider Manual
To obtain a copy of the Pharmacy Provider Manual, please visit
www.navitus.com and go to the provider section.
For Pharmacy questions contact Customer Service at 1-800-431-7798.
Pharmacy Maximum Allowable Cost (MAC) List
To obtain a copy of the MAC List, network pharmacies may visit the Navitus pharmacies website and go to the MAC Program link:
pharmacies.navitus.com
News
Monoclonal Antibody for Asthma Prior Authorization Updates Set for April 6, 2021 For additional information click here.
Revised Hepatitis C Drug Prior Authorization Forms Now Available For additional information click here.
Clinical Prior Authorization Updates for Cystic Fibrosis Agents For additional information click here.
Preferred Drug List Criteria Exception for Macrolides Changes March 15 For additional information click here.
Renewed Texas Standing Order for Mosquito Repellent Benefit Available For additional information click here.
Clinical Prior Authorization Assistance Chart Now Available For additional information click here.
January 2021 Preferred Drug List Now Available For additional information click here.
Desmopressin Clinical Prior Authorization Revision Begins March 15, 2021 For additional information click here.
COVID-19 Vaccine NDC Update For additional information click here.
Dupixent Clinical Prior Authorization Criteria Revision Effective March 15, 2021 For additional information click here.
Change to Thiazolidinediones Clinical Prior Authorization Begins February 4, 2021 For additional information click here.
Medicaid Adds Moderna COVID-19 Vaccine to Formulary For additional information click here.
Medicaid Adds Pfizer BioNTech COVID-19 Vaccine to Formulary For additional information click here.
July 2020 Preferred Drug List Revised Dec. 16 For additional information click here.
Semi-annual Medicaid Preferred Drug List Update Coming Jan. 28, 2021 Preferred drugs are medications recommended by the Texas Drug Utilization Review Board. The Texas Preferred Drug List is published every January and July. For additional information click here.