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Pharmacy information

Please visit the Navitus website for the following pharmacy information:

Please visit the Texas Medicaid/CHIP Vendor Drug Program's:

Pharmacy Provider Relations

Navitus Provider Relations can assist you with:

  • Network participation
  • Network access reports
  • Contract questions
  • Pharmacy credential review
  • Reimbursement and remittances
  • Maximum Allowable Cost list (MAC)
  • Network system set up
  • Pharmacy performance analysis and reporting
  • Pharmacy Communications

Pharmacy Provider Relations/Contracts: 866-333-2757
Fax: 866-808-4649
Email: providerrelations@navitus.com

Navitus Texas Provider Hotline: 877-908-6023 (toll free)
Prior Authorization: 877-908-6023 (toll free)
Pharmacy Network (request a contract, 835 setup, remit issues): 608-729-1577
Fraud, Waste, and Abuse: 855-673-6503

Pricing Inquiries

Maximum Allowable Cost list (MAC) pricing issues-If you experience negative reimbursement for a drug on the MAC list, please complete and fax us a MAC override Request Form, located  the Navitus portal at https://pharmacies.navitus.com/ (External Website).  The NDC in question must be on the Preferred Drug List to be eligible for consideration.  Be sure to provide proof of acquisition price (copy from your wholesaler).