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Downloading a Form to Your Computer
Fillable forms cannot be viewed on mobile or tablet devices. Follow the steps below to download and view the form on a desktop PC or Mac.
- Right Click for PC or Ctrl + Click for Mac on the PDF link and click “Save link as” from the menu.
- Select the folder you want to save the file in and then click "Save."
- Navigate to the folder you saved the file in and Right Click for PC or Ctrl + Click for Mac, then select "Open With" from the menu and select Adobe Acrobat Reader DC.
Note: Open the PDF file from your desktop or Adobe Acrobat Reader DC. Do not click on the downloaded file at the bottom of the browser since it will not open the PDF in Adobe Acrobat Reader DC. It will try to open the file in the browser that results in the same browser error message.
To allow Vendor Drug Program (VDP) enrolled pharmacy providers to create a free account for the VDP Eligibility Verification Portal (EVP). EVP is a browser-based application used to obtain a person’s enrollment status, pharmacy benefits and managed care participation.
- The pharmacy is required to designate an administrator in order for the Eligibility Verification Portal (EVP) Access Form to be processed.
- This administrator resets the passwords on the EVP and individual user passwords are then sent to the administrator who will forward to the appropriate user. It is the administrator's responsibility, when an employee leaves, to send an updated form to Conduent listing only current users. This will ensure access is removed for users that are no longer with the pharmacy.
- A link is emailed to the designated administrator for creating a new password. The link is valid for 12 hours and becomes invalid if forwarded.
- The user will have a user ID assigned by email. The user is prompted to change the password the first time the user logs in. If the user forgets or wants to reset the password, then click the “Forgot/Change Password” link on the EVP screen.
- After 90 days of inactivity, the user's access to the EVP is terminated.
- The EVP is online at https://txpcra.pharmacy.services.conduent.com/PBMPortal/login.jsp (link is external).
- From the dropdown box, select “Eligibility Verification” and then enter your User ID and password.
- The EVP is accessible only through the Microsoft Internet Explorer browser
- The browser is available free from Microsoft.com.
- Refer to the “NCPDP E1 Transaction Accepted Response” payer sheet for the full list and explanation of the field responses. Download the VDP Pharmacy Provider Payer Sheets from the "Downloads" page at txvendordrug.com/about/policy/payer-sheets (link is external).
- Fax: 866-780-2185
- Email: PharmacyMoveIT@Conduent.com
- Because you may be sending protected health information, please electronically encrypt your information prior to emailing.
Direct all questions about this form to the Conduent Technical Support and Interfaces Desk to
888-701-1713 or by email to PharmacyMoveIT@Conduent.com.