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

Tex. Insurance Code § 4151.154: DISCOUNT HEALTH CARE PROGRAMS.

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Where this section sits in the code
  1. INSURANCE CODE
  2. TITLE 13. REGULATION OF PROFESSIONALS
  3. SUBTITLE D. OTHER PROFESSIONALS
  4. CHAPTER 4151. THIRD-PARTY ADMINISTRATORS
  5. SUBCHAPTER D. PHARMACY BENEFIT PLANS

A pharmacy benefit manager may not require a pharmacist or pharmacy to:

(1) accept or process a claim for prescription drugs under a discount health care program as defined by Section 7001.001 unless the pharmacist or pharmacy agrees in writing to accept or process the claim;

(2) participate in a specified provider network as a condition of processing a claim for prescription drugs under a discount health care program; or

(3) participate in, or process claims under, a discount health care program as a condition of participation in a provider network.

Added by Acts 2015, 84th Leg., R.S., Ch. 573 (H.B. 3028), Sec. 2, eff. September 1, 2015.

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

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