Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 355 - REIMBURSEMENT RATES
Subchapter J - PURCHASED HEALTH SERVICES
Division 28 - PHARMACY SERVICES: REIMBURSEMENT
Section 355.8547 - Reimbursement for Compound Prescriptions
Universal Citation: 1 TX Admin Code ยง 355.8547
Current through Reg. 49, No. 38; September 20, 2024
Reimbursement for compounded prescriptions is based on acquisition cost of the ingredients used, verifiable by invoice audit, plus HHSC's currently established professional dispensing fee per prescription or the usual and customary price charged to the general public, whichever is lower. Only drugs listed in the latest revision of the Texas Drug Code Index are considered for reimbursement. There is no provision for a compounding fee over and above the professional dispensing fee.
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