Tex. Insurance Code § 4151.155: CERTAIN DISCLOSURES AND COMMUNICATIONS BY PHARMACIST OR PHARMACY PROTECTED.
Where this section sits in the code
- INSURANCE CODE
- TITLE 13. REGULATION OF PROFESSIONALS
- SUBTITLE D. OTHER PROFESSIONALS
- CHAPTER 4151. THIRD-PARTY ADMINISTRATORS
- SUBCHAPTER D. PHARMACY BENEFIT PLANS
(a) A pharmacy benefit manager may not, by contract or otherwise, prohibit or restrict a pharmacist or pharmacy from informing an enrollee of any difference between the enrollee's out-of-pocket cost for a prescription drug under the enrollee's prescription drug benefit and the out-of-pocket cost without submitting a claim under the enrollee's prescription drug benefit.
(b) A provision in a pharmacy benefit manager's pharmacy benefit network contract is void and unenforceable if the provision prohibits or restricts a pharmacist or pharmacy from:
(1) informing an enrollee of any difference between the enrollee's out-of-pocket cost for a prescription drug under the enrollee's prescription drug benefit and the out-of-pocket cost without submitting a claim under the enrollee's prescription drug benefit; or
(2) communicating with plan sponsors or administrators regarding member services with respect to prescription drug benefits, pharmacy services and benefits, network access and adequacy with respect to prescription drug benefits, partnership opportunities, or prescription claim reimbursement.
Added by Acts 2025, 89th Leg., R.S., Ch. 479 (S.B. 493), Sec. 1, eff. September 1, 2025.
Collected 2026-08-27T01:47:21Z. Source file · JSON