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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

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 (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).

Nurse Advice Line

Nurse Advice Line
866-971-COOK (2665)

One toll-free number connects you with a nurse who will take the time to understand what is going on with your health and provide personalized information 24 hours a day, seven days a week.

This service isn’t intended for emergencies. In case of emergency, dial 911 immediately

For additional information seeking specialty consultations and referrals, please visit Specialty Care and Referrals page.

If you have any questions please call 1-800-964-2247 Monday through Friday from 8 a.m. to 5 p.m.