Does Texas Medicaid (statewide) cover dextromethorphan / guaifenesin?
Texas Medicaid (statewide)
One statewide formulary · all Medicaid MCOs
dextromethorphan / guaifenesin
dextromethorphan / guaifenesinunder Texas Medicaid (statewide)
Covered — the conditions depend on which form
Not the same for every form: 5 of 5 need your plan’s approval first, and 1 of 5 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 prescriptionwith your plan
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 (5)
- 12 HR dextromethorphan hydrobromide 30 MG / guaifenesin 600 MG Extended Release Oral TabletApproval first
- 12 HR dextromethorphan hydrobromide 60 MG / guaifenesin 1200 MG Extended Release Oral TabletApproval firstTry another first
- dextromethorphan hydrobromide 1 MG/ML / guaifenesin 10 MG/ML Oral SolutionApproval first
- dextromethorphan hydrobromide 2 MG/ML / guaifenesin 20 MG/ML Oral SolutionApproval first
- dextromethorphan hydrobromide 20 MG / guaifenesin 400 MG Oral TabletApproval first