STAR Medicaid Pharmacy & Drugs

FirstCare STAR members can access prescriptions through any pharmacy that is contracted with Navitus Health Solutions. Navitus administers prescription benefits for FirstCare STAR Members. For pharmacy questions, contact Customer Service at 877-639-2447.

You can view your pharmacy directory using the links below:

Formulary

Pharmacy Benefit Drugs

FirstCare uses the state mandated STAR formulary. The formulary is available on the Texas Medicaid Drug Vendor Drug Program website.

The Texas STAR Formulary is available in paper form without charge. To request a copy, call FirstCare STAR Customer Service at 800-431-7798.

Medical Benefit Drugs

For list of drugs covered under medical benefit, please refer to the Texas Health and Human Services Vendor Drug Program Formulary – Clinician-Administered Drug found here: Data Files | Vendor Drug Program

Prior Authorizations

Pharmacy Benefit Drugs

To obtain a prior authorization, providers should call Navitus at 877-908-6023. View a listing of clinical edits implemented by FirstCare or access FirstCare's prior authorization forms.

• Download the State of Texas Standard Prior Authorization Form for prescription benefit drugs.
• If your doctor cannot be reached to approve a prescription, you can get a three-day emergency supply of your medication. Call FirstCare at 806-784-4300 for help with your medications and refills.

Medical Benefit Drug

• For information regarding prior authorization submission for drugs obtained under the medical benefit, please refer to Authorization Information

Member Forms

HHSC Notifications