Does Texas Medicaid (statewide) cover dextromethorphan / phenylephrine / dexbrompheniramine?
Texas Medicaid (statewide)
One statewide formulary · all Medicaid MCOs
dextromethorphan / phenylephrine / dexbrompheniramine
dextromethorphan / phenylephrine / dexbrompheniramineunder Texas Medicaid (statewide)
Covered — the conditions depend on which form
Not the same for every form: 2 of 2 need your plan’s approval first, and 1 of 2 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 (2)
- dexbrompheniramine maleate 0.4 MG/ML / dextromethorphan hydrobromide 3 MG/ML / phenylephrine hydrochloride 1.5 MG/ML Oral SolutionApproval firstTry another first
- dexbrompheniramine maleate 2 MG / dextromethorphan hydrobromide 20 MG / phenylephrine hydrochloride 10 MG Oral TabletApproval first
← All coverage for dextromethorphan / phenylephrine / dexbrompheniramine