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 50419042301)
Walgreens Specialty Pharmacy
10530 John W. Elliott Dr., Ste. 100
Frisco, TX 75033
Phone: 877-686-4633
NPI:1851463087

Skyla® (NDC 50419042201)
Walgreens Specialty Pharmacy
10530 John W. Elliott Dr., Ste. 100
Frisco, TX 75033
Phone: 877-686-4633
NPI:1851463087

Kyleena (NDC 50419042401)
Walgreens Specialty Pharmacy
10530 John W. Elliot Dr., Ste. 100
Frisco, TX 75033
Phone: 877-686-4633
NPI:1851463087

Nexplanon® (NDC 78206014501)
Accredo
4343 West Royal Lane, Ste. 124
Irving, TX 75063
Phone: 972-929-6800
NPI: 1073569034

Paragard® (NDC 59365512801)
Biologics, Inc, Specialty Pharmacy
c/o TWH Access Solutions
120 Weston Oaks Court
Cary, NC 27513
Phone: 888-275-8596
NPI: 1487640314

Providers may also continue to obtain LARC products through the existing buy-and-bill process.