Prescription Benefits

What are my prescription drug benefits?
You can get your prescriptions through your STAR Medicaid and CHIP/CHIP Perinate coverage if you go to a pharmacy that takes Sendero Health Plans Members. There are some medications that may not be covered through STAR Medicaid and CHIP/CHIP Perinate.

The medication may be ordered by your doctor or another doctor treating you or your child. Medication can also be ordered or given while you are in an emergency room or hospital.

Click here for the Texas Medicaid Formulary.

Who can help me get my prescription drugs?
Members can call Member Services toll-free at 1-855-526-7388 Monday to Friday, 8:00 a.m.-5:00 p.m. if:

  1. You need to ask about a drug.
  2. You have trouble getting a prescription filled at the pharmacy.
  3. You need help finding a network drug store.
  4. You need an interpreter to communicate with the pharmacy about getting your medication.
  5. When you have an emergency and need drugs, Sendero Health Plans can provide you with up to a 72-hour supply of the drug.
  6. You lose your medication.

If you have a hearing problem, call our TTY line at 1-800-855-2880. If you need assistance in another language call 1-855-526-7388.