• DSHS HIV/STD Program
    Post Office Box 149347, MC 1873
    Austin, TX 78714

    Phone: 737-255-4300

    Email the HIV/STD Program

    Email HIV, STD, Hepatitis C, and TB data requests to the Program – Use this email to request Texas HIV, STD, Hepatitis C, and TB data and statistics. Do not use this email to request treatment or infection history for individuals, or to request information on programs or services. Do not email personal, identifying health information such as HIV status, date of birth, or Social Security Number.

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STD Medication and Phlebotomy Supply Distribution

Policy Number 023.001
Effective Date July 30, 1995
Revision Date July 26, 2001
Approval Authority TB/HIV/STD Section Director

1.0 Purpose

This policy will establish the process by which medications for the treatment of sexually transmitted diseases (STD) and phlebotomy supplies are provided by the Texas Department of State Health Services (DSHS) TB/HIV/STD Section (Section) to regional STD offices and local health departments.


2.0 Background

The Sectiont's HIV/STD Medication Program (Program) is responsible for the distribution of STD medications and related phlebotomy supplies. The Program ships these items directly to DSHS regional offices and local health departments.


3.0 Authority

The Section Director, in collaboration with the Program Administrator of the HIV/STD Medication Program, determines the allocation of STD medications (see HIV/STD Policy No. 023.002) and their appropriate distribution. The Section Director assigns responsibility for implementation of this policy to the Program.


4.0 Medication Shipments

The Program will ship STD medications directly to DSHS Regional offices and to certain local health departments. The quantity of medications to be shipped to any site is determined by applying the allocation formula described in HIV/STD Policy No. 023.002. Other treatment sites must make arrangements with the DSHS regional office or the local health department in their county to receive medication allotments.


5.0 Supplying STD Medications to Other Providers

STD medications for eligible clinics are provided from the supplies of the local health department or the DSHS regional office. Regional STD Program Managers are responsible for determining if clinics in their area are eligible to receive STD medications. The criteria for determining eligibility of clinics and providers are:

  1. The population being served cannot afford any other means of STD treatment.
  2. The clinics report STD morbidity to the health department. Clinical usage of DSHS supplied STD medications should reflect the clinic's report.
  3. The clinic does not accept money for the STD medications provided by DSHS, either from the client or other funding sources.

STD Program Managers will prioritize the clinics and/or providers in their communities who will receive STD medications from DSHS according to the eligibility criteria. In the event resources are not available to supply the entire allotment for each county or region, clinics and/or providers prioritized the highest will receive first consideration.

The DSHS Regional Offices and local health departments distributing medications are responsible for maintaining thorough records regarding which clinics were supplied with medications and the amount supplied. By September 30th following the end of each fiscal year, STD Programs must send one copy of these records to the Program. The Program will reconcile these records against STD medication records maintained by the Bureau of Women and Children for each Title V contracted clinic.

All questions regarding allotments or emergency shipment of STD medications should be directed to the STD Program Managers in the DSHS regional office. The STD Program Managers will either answer the questions or refer the questions and/or requests to the Program.


6.0 Phlebotomy Supplies

6.1 Ineligible sites

Local health departments and providers who contract with DSHS to provide HIV/STD related services whose budgets (regardless of the source of those funds) include monies set aside explicitly to purchase phlebotomy supplies.


6.2 Eligible sites

Local health departments and providers that do not receive direct STD medication shipments provided through the Program may request needles and saf-t clicks from their regional office. Providers funded by the Section to deliver STD clinical services but who do not receive DSHS funding to purchase phlebotomy supplies, may also request needles and saf-t clicks from their regional office. The regional office will fill these requests for supplies if it has sufficient stock. When the regional office does not have sufficient stock to honor a request, it may forward the request by fax, interoffice mail, or electronic mail to the Program central office.

It is necessary for non-contracting sites to meet the following two criteria to be eligible to receive phlebotomy supplies in addition to the criteria set out previously in this policy:

  1. The site does syphilis testing on all persons receiving clinic services.
  2. The site reports HIV and STD morbidity to DSHS.


7.0 Revision History

Date Action Section
Revision History
9/1/2017 Changed "TB/HIV/STD Unit" to "TB/HIV/STD Section" to reflect new program designation
10/2/2014 Converted format (Word to HTML) -
11/13/2002 Converted format (WordPerfect to Word) -


Last updated June 12, 2020