700.002 Rights of the Texas HIV Medication Program to Limit the Number of Clients Assigned to a Pharmacy

Policy Number  700.002
Effective Date  October 29, 1996
Revision Date  April 1, 2015
Approval Authority  HIV/STD Prevention and Care Branch Manager

1.0 Purpose

The Texas HIV Medication Program (THMP) reserves the right to limit the number of clients assigned to a particular pharmacy, at any given time, when the demand for a particular location exceeds a client level that the Program is able to accurately monitor for the maximum benefit of the Program's clients.

2.0 Authority

Imposing limits on the number of clients served by a pharmacy is necessary to ensure that Program guidelines and regulations are monitored and upheld. The THMP Manager and the HIV/STD Prevention and Care Branch Manager have the authority to impose these limits. For a complete list of Pharmacy Guidelines please see: dshs.texas.gov/hivstd/meds/document.shtm.

3.0 Imposing Limits on the Number of Clients Assigned to a Pharmacy

The Program will send a letter to pharmacies if and when it is necessary to establish a client limit. Limitations imposed on a pharmacy will be based on the length of the Program's relationship with the pharmacy; proximity of the pharmacy to clients, providers, and other participating pharmacies; the pharmacy's method for ordering medications from the Program; and the population served by the pharmacy. Using this criteria, the Program will stop adding clients to a pharmacy when the Program determines it in the best interest of the Program and clients.

4.0 Providing Self-Imposed Client Limit

A pharmacy with a self-imposed client limit should contact the Program to inform the Program of the established limit. The Program will strive to place a roster hold on the pharmacy once the established limit has been met. It is the pharmacy's responsibility to notify the Program when the pharmacy is again able to accept new clients.

5.0 Pharmacy's Serving in Excess of an Established Client Limit

The Program may reassign the current clients being served by a pharmacy in order to avoid exceeding the imposed or established client limit. Clients currently assigned to a pharmacy when an excess client limit is identified will remain with the pharmacy until either (1) the client requests a transfer to another participating pharmacy, or (2) the client is dropped from the Program.

6.0 Revision History

Date Action Section
4/1/2015 Update job titles and some changes in procedure All
10/7/2014 Converted format (Word to HTML) -
11/13/2003 Converted format (WordPerfect to Word) -