Tuberculosis Medications Program Eligibility- Minnesota Dept. of Health

Tuberculosis Medications Program Eligibility

As of July 15, 2019, there are new eligibility requirements for accessing latent TB infection (LTBI) medications through MDH due to budget constraints.

If your patient does not meet eligibility requirements, please continue the prescription process through your patient’s regular pharmacy of choice. MDH endorses CDC recommendations that all people living with latent TB infection receive treatment and that the shorter treatment regimens are used.

On this page:
Requirements for all patients
Requirements for LTBI treatment
Requirements for active TB disease treatment

Requirements for all patients

  • Provider must submit patient insurance information with all prescriptions.
    • If patient is uninsured, patient must be referred to health insurance navigation assistance and insurance information submitted within the first month of treatment start.
    • If a patient is not legally eligible to receive insurance in Minnesota, document uninsurability on medications request form.
    • MDH reserves the right to decline program participation and refer the provider to use regular pharmacy channels.
  • Vitamin B6 will only be provided if medically indicated.
  • Treatment regimens using medications supplied by MDH must follow the Clinical Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis, CID for treatment of LTBI or active TB disease.

Requirements for LTBI treatment

Have a verified diagnosis of LTBI (presence of active disease has been ruled out) and meet at least one of the following eligibility criteria. Criteria must be documented in patient’s medical record.

  1. Local Public Health verified exposure to active disease within the last 2 years.
  2. Status as a refugee or immigrant < 5 years of arrival date.
  3. Child < 5 years of age.
  4. Highly immunocompromised due to presence of at least one of the following:
    • HIV infection
    • Presently taking immunosuppressive therapy:
      • Beginning or currently in recipient process of stem cell or solid organ transplant
      • Current daily treatment with moderate or high dose corticosteroid [i.e., equivalent to prednisone ≥15 mg for 1 month or longer]
      • Beginning or currently receiving treatment with TNF-alpha antagonist
    • Silicosis
    • Abnormal chest x-ray consistent with stable, inactive TB disease.
  5. TB test conversion (i.e., documented change in TB testing status within a 2 year period):
    • TST:  a change from negative to positive with an increase of ≥10 mm in induration within 2 years.
    • IGRA:  a change from negative to positive within 2 years.

Visit LTBI Treatments for a list of regimens covered by the TB Medications Program.

Requirements for active TB disease treatment

N/A - all patients with active TB disease are eligible.

Updated Monday, 08-Jul-2019 11:53:15 CDT