diff --git a/litellm/responses/litellm_completion_transformation/transformation.py b/litellm/responses/litellm_completion_transformation/transformation.py
index 08e31c59662..b272fb92891 100644
--- a/litellm/responses/litellm_completion_transformation/transformation.py
+++ b/litellm/responses/litellm_completion_transformation/transformation.py
@@ -1189,14 +1189,18 @@ class LiteLLMCompletionResponsesConfig:
                         text_value = item.get("text")
                         if text_value is None:
                             continue
-                        content_list.append(
-                            {
-                                "type": LiteLLMCompletionResponsesConfig._get_chat_completion_request_content_type(
-                                    item.get("type") or "text"
-                                ),
-                                "text": text_value,
-                            }
-                        )
+                        text_block: Dict[str, Any] = {
+                            "type": LiteLLMCompletionResponsesConfig._get_chat_completion_request_content_type(
+                                item.get("type") or "text"
+                            ),
+                            "text": text_value,
+                        }
+                        # Preserve cache_control for providers that
+                        # support prompt caching (e.g. Anthropic).
+                        cache_control = item.get("cache_control")
+                        if cache_control is not None:
+                            text_block["cache_control"] = cache_control
+                        content_list.append(text_block)
             return content_list
         else:
             raise ValueError(f"Invalid content type: {type(content)}")