WebMar 1, 2024 · Texas Department of State Health Services complex 1100 W. 49th St. Austin, TX 78756 (warehouse building at North Loop and Grover) Phone: (512) 776-7500 Fax: (512) 776-7489 Email: [email protected] The DSHS Pharmacy does not serve the general public. View a list of the Texas Department of State Health Services programs that the … WebMAGI Resources. Ryan White Care Services Attestation Form. Income Calculation Form. Income Calculation Form - Spanish. Tax Transcript and Certificate of Non-Filing …
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WebTexas HIV Medication Program (THMP) Medication Formulary and Maximum Quantities. Drug Name. Priority. Class. Strength/Form. Per Unit. MAX Qty/30-d it Notes. Aptivus (tipranivir) ** 1 ; PI . 250 mg capsules : 120/btl . 120 capsules : If the THMP provides Aptivus, then the Norvir used as a boosting agent must be obtained thru WebREQUEST FOR FORMULARY ADMISSION OR DELETION DSHS 13-925 (04/2024) BEHAVIORAL HEALTH ADMINISTRATION (BHA) PO BOX 45010 • OLYMPIA WA 98504- 5010 : Date: To: Sean Murphy, Assistant Secretary BHA . From: Pharmacies and Therapeutics Committee Chairman and Committee Secretary . Subject: ... javascript programiz online
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