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Texas · Through 89th 2nd Called Legislative Session, 2025

Tex. Insurance Code § 1369.256: AUDIT REQUIRING PROFESSIONAL JUDGMENT.

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Where this section sits in the code
  1. INSURANCE CODE
  2. TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
  3. SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES
  4. CHAPTER 1369. BENEFITS RELATED TO PRESCRIPTION DRUGS AND DEVICES AND RELATED SERVICES
  5. SUBCHAPTER F. AUDITS OF PHARMACISTS AND PHARMACIES

A health benefit plan issuer or pharmacy benefit manager that conducts an on-site audit or a desk audit involving a pharmacist's clinical or professional judgment must conduct the audit in consultation with a licensed pharmacist.

Added by Acts 2013, 83rd Leg., R.S., Ch. 915 (H.B. 1358), Sec. 1, eff. September 1, 2013.

Collected 2026-08-27T01:47:21Z. Source file · JSON

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