Pharmacy Providers

Attention Pharmacy Providers

People often forget their medicines when they evacuate and need an early refill from a pharmacy. In most cases, pharmacists may not dispense more than a 72-hour supply of medication.  Clients affected by Hurricane Harvey in Kidney Health Care may be able to receive early prescription refills from their pharmacy.

Health and Human Services implemented an emergency procedure for pharmacists to follow if a prescription rejects with an error code “79” (“Refill Too Soon”) but only for people the pharmacist identifies as affected by Hurricane Harvey. Pharmacy staff should use their professional judgement when filling prescriptions to ensure adherence to state and federal law. HHS guidance on how to fill a prescription earlier may be found here:

Fee-for-service and MCO emergency override procedure is available for claims with service dates of Aug. 24 through Oct. 31 2017.

KHC Drug Claims

For KHC drug claims the BIN is 610084, the PCN is DRTXPRODKH, and the Group is KHC.  For questions regarding claims, call 1-800-222-3986. Please the KHC Client ID ready.

Texas Drug Code Formulary

The Texas Medicaid/CHIP Vendor Drug Program homepage has links to search the Texas Drug Code Formulary, search contracted KHC pharmacies, claims information, and more.

KHC Reimbursable Drug Lists

Disclaimer: This listing is intended to inform patients and providers of the drugs that are reimbursable under the Kidney Health Care (KHC). KHC makes no claims on the use, efficacy, or safety of the drugs contained in this formulary.

Search for drugs by therapeutic category.

Search for drugs by chemical name.

Addendum to Texas Medicaid Payer sheet for KHC

Addendum to Texas Medicaid Payer Sheet for the Kidney Health Care Program (76 KB, Word)

Contact KHC by email  

Last updated October 6, 2017