Does Texas Medicaid (statewide) cover acetaminophen / dextromethorphan / doxylamine?
Texas Medicaid (statewide)
One statewide formulary · all Medicaid MCOs
acetaminophen / dextromethorphan / doxylamine
acetaminophen / dextromethorphan / doxylamineunder Texas Medicaid (statewide)
Covered — some forms require prior authorization (non-preferred)
1 of 2 covered forms have a condition attached. This one isn’t on your plan’s preferred list, so you usually have to try a preferred medication first — your doctor’s office handles it.
What you'd pay
$0for a covered prescriptionwith your plan
Texas Medicaid charges no copay for a covered prescription.
- Approval first
- Not needed
- Try another first
- Required
- Amount limit
- None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 23, 2026 · Texas VDP. Reference information, not medical advice and not a price.
Covered forms and strengths (2)
- acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 1 MG/ML / doxylamine succinate 0.417 MG/ML Oral Solution
- acetaminophen 325 MG / dextromethorphan hydrobromide 15 MG / doxylamine succinate 6.25 MG Oral CapsuleApproval firstTry another first
← All coverage for acetaminophen / dextromethorphan / doxylamine