Medicaid Adds Pfizer BioNTech COVID-19 Vaccine to Formulary

Medicaid Adds Pfizer BioNTech COVID-19 Vaccine to Formulary

FirstCare follows the Texas VDP formulary. The Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA) for the use of the Pfizer-BioNTech COVID-19 Vaccine on December 11, 2020.

HHSC will add the vaccine to the formulary for the Medicaid, Children’s Health Insurance Program (CHIP) and Healthy Texas Women (HTW) programs as a payable pharmacy benefit beginning December 28, 2020. VDP will backdate the effective date of formulary coverage to December 11, 2020 to align with medical benefit requirements, meaning pharmacy claims with dates of service starting December 11, 2020 are allowed beginning December 28, 2020.
 

Manufacturer Drug Name NDC
Pfizer-BioNTech COVID-19 Vaccine EUA 59267-1000-01

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