Tex. Insurance Code § 1560.003: MULTIPLE-MONTH SUPPLY OF PRESCRIPTION DRUG.
Where this section sits in the code
- INSURANCE CODE
- TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
- SUBTITLE H. HEALTH BENEFITS AND OTHER COVERAGES FOR GOVERNMENTAL EMPLOYEES
- CHAPTER 1560. DELIVERY OF PRESCRIPTION DRUGS BY MAIL
(a) In this section, "multiple-month supply" means a supply for 60 or more days.
(b) Notwithstanding any other law, an issuer of a health benefit plan that provides pharmacy benefits to enrollees must allow an enrollee to obtain from a community retail pharmacy a multiple-month supply of any prescription drug under the same terms and conditions applicable when the prescription drug is obtained from a mail order pharmacy, if the community retail pharmacy agrees to accept reimbursement on exactly the same terms and conditions that apply to a mail order pharmacy.
(c) This section does not require:
(1) the issuer of a health benefit plan to contract with:
(A) a retail pharmacy that does not agree to accept reimbursement on exactly the same terms and conditions that apply to a mail order pharmacy; or
(B) more than one mail order pharmacy; or
(2) a community retail pharmacy to:
(A) provide a multiple-month supply of a prescription drug under the same terms and conditions applicable when the prescription drug is obtained from a mail order pharmacy; or
(B) agree to accept reimbursement on exactly the same terms and conditions that apply to a mail order pharmacy.
Added by Acts 2009, 81st Leg., R.S., Ch. 1207 (S.B. 704), Sec. 5, eff. September 1, 2009.
Collected 2026-08-27T01:47:21Z. Source file · JSON