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Central Health

MAP Formulary

NON-COMMUNITYCARE PROVIDERS: Medications restricted to CUC Prescribers and/or CUC in-house pharmacies are considered non-formulary outside of CUC. These medications may be obtained via Prescription Assistance Programs (PAP). If the patient does not qualify for PAP, the provider may submit a Non-Formulary Drug Request (NFDR) form. Documentation of PAP ineligibility or rejection should be submitted with the NDFR form.

To request an addition tot he formulary complete the form linked below.

Do not submit Protected Health Information (PHI) on this request form. Complete the form below, or download a PDF, complete, and return.
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    NOTICE: THE TRAVIS COUNTY HEALTHCARE DISTRICT D/B/A CENTRAL HEALTH ADOPTED A TAX RATE THAT WILL RAISE MORE TAXES FOR MAINTENANCE AND OPERATIONS THAN LAST YEAR’S TAX RATE. THE TAX RATE WILL EFFECTIVELY BE RAISED BY 6.0 PERCENT AND WILL RAISE TAXES FOR MAINTENANCE AND OPERATIONS ON A $100,000 HOME BY APPROXIMATELY $6.18 (SIX DOLLARS AND EIGHTTEEN CENTS).

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