Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter F - PHARMACY SERVICES
Division 4 - LIMITATIONS
Section 354.1867 - Refills

(a) As many as eleven refills may be authorized by the prescriber, but the total amount authorized must be dispensed within one year of the original prescription. Refills for controlled substances must conform to Drug Enforcement Administration and Texas State Board of Pharmacy rules. All refills are counted when determining compliance with the authorized refill limitation. In the absence of specific refill instructions, the prescription must be interpreted as not refillable. If a prescription notes specific refill instructions, any future dispensings must be considered refills of the original prescription, unless the prescriber has been contacted for authorization to dispense a new supply of medication. If authorization is granted, a new and separate prescription is prepared.

(b) In accordance with Texas Insurance Code 1369, Subchapter J, early refills of drugs used to treat chronic conditions included in a Medication Synchronization Plan may be jointly approved by HHSC, the applicable pharmacist, enrollee, and the prescribing physician or health care provider. A pharmacist requesting an early refill for the purpose of medication synchronization must adhere to the process described in the Vendor Drug Program pharmacy provider procedure manual. Dispensing fees will not be prorated.