Long-Acting Reversible Contraception Products
Overview
Prescribers for Medicaid and Healthy Texas Women are able to obtain long-acting reversible contraception (LARC) products only through a limited number of specialty pharmacies.
Pharmacy Benefit
Providers can prescribe and obtain long-acting reversible contraception (LARC) products that are on the Texas Medicaid and Texas Women’s Health Program (TWHP) drug formularies from certain specialty pharmacies for women participating in Texas Medicaid and TWHP. LARC products are only available through a limited number of specialty pharmacies that work with LARC manufacturers. Providers who prescribe and obtain LARC products through the specialty pharmacies listed will be able to return unused and unopened LARC products to the manufacturer's third-party processor.
The following products are currently available through the pharmacy benefit:
Mirena® (NDC 50419042101)
Mirena® (NDC 50419042301)
Walgreens Specialty Pharmacy
10530 John W. Elliott Drive, Suite 100
Frisco, TX 75033
(877) 686-4633
NPI:1851463087
Skyla® (NDC 50419042201)
Walgreens Specialty Pharmacy
10530 John W. Elliott Drive, Suite 100
Frisco, TX 75033
(877) 686-4633
NPI:1851463087
Kyleena (NDC 50419042401)
Walgreens Specialty Pharmacy
10530 John W. Elliot Drive Suite 100
Frisco, TX 75033
Phone: 877-686-4633
NPI:1851463087
Nexplanon® (NDC 0052433001)
Accredo
4343 West Royal Lane, Suite 124
Irving, TX 75063
(972) 929-6800
NPI: 1073569034
Paragard® (NDC 51285020401)
Biologics, Inc, Specialty Pharmacy
c/o TWH Access Solutions
120 Weston Oaks Court
Cary, NC 27513
(888) 275-8596
NPI: 1487640314
Providers may also continue to obtain LARC products through the existing buy-and-bill process.
Prescriber Letters
Resources