Does Texas Medicaid (statewide) cover acetaminophen / dextromethorphan / phenylephrine?
Texas Medicaid (statewide)
One statewide formulary · all Medicaid MCOs
acetaminophen / dextromethorphan / phenylephrine
acetaminophen / dextromethorphan / phenylephrineunder Texas Medicaid (statewide)
Covered — the conditions depend on which form
Not the same for every form: 1 of 3 need your plan’s approval first, and 2 of 3 usually need a preferred medication tried first. Check your exact form in the list below — your doctor’s office handles either.
What you'd pay
$0for a covered prescription
Texas Medicaid charges no copay for a covered prescription.
- Approval first
- Required
- 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 (3)
- acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML / phenylephrine hydrochloride 0.333 MG/ML Oral SolutionApproval firstTry another first
- acetaminophen 325 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Oral CapsuleApproval firstTry another first
- acetaminophen 325 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Oral Tablet
← All coverage for acetaminophen / dextromethorphan / phenylephrine