Texas covers certain mosquito repellent products for the prevention of Zika virus as a benefit in Medicaid and other state programs.
Who is Covered?
Pregnant women of any age, women and girls ages 10-55, and men and boys 14 and older in the following programs:
- Medicaid
- Children's Health Insurance Program (CHIP)
- CHIP-Perinatal
- Healthy Texas Women
- Children with Special Health Care Needs (CSHCN) Services Program
- Family Planning Program
Benefit Details
- The benefit originally began May 1 and ends on Dec. 31. It has been renewed through 2019.
- One can or bottle of mosquito repellent is permitted per pharmacy fill, with 1 refill allowed per month.
- Mosquito repellent won't count against the monthly 3-prescription limit for those clients with a monthly limit.
- There is no cost to Medicaid or Healthy Texas Women clients.
- CHIP members may pay the generic copay or less, if the cost of the repellent is less than the copay.
How to Get Repellent
Many pharmacies can provide you mosquito repellent without a prescription from your doctor. Contact your favorite pharmacy to make sure they are participating in this benefit. To find your pharmacy's phone number, you can use the Pharmacy Search on our website: https://www.txvendordrug.com(link is external). If you are enrolled in managed care, please refer to that health plan's website, or call the Member Services number on the back of your Member ID card.
If your pharmacy recommends getting a prescription or if you are enrolled in CSHCN, contact your healthcare provider and ask them to send a prescription to your pharmacy.
- Your provider can send a prescription to your pharmacy via phone, fax, or e-prescription.
- Don't ask for an office visit only to get a prescription for mosquito repellent unless your healthcare provider requires it.
- Have this prescription filled at your pharmacy.
If you get services from the Family Planning Program, and your healthcare provider offers this benefit, you can pick up mosquito repellent at a participating Family Planning Program clinic.
Where Can I Find More Information about Zika and Zika Prevention?
