{"data":{"id":"us-tx/tex.-government-code-549.0258","jurisdiction":"us-tx","citation":"Tex. Government Code § 549.0258","heading":"PRIOR AUTHORIZATION AUTOMATION AND POINT-OF-SALE REQUIREMENTS.","body":"The executive commissioner, in the rules and standards governing the vendor drug program and as part of the requirements under a contract between the commission and a Medicaid managed care organization, shall:\n(1) require, to the maximum extent possible based on a pharmacy benefit manager's claim system, automation of clinical prior authorization for each drug in the antipsychotic drug class; and\n(2) ensure that, at the time a nonpreferred or clinical prior authorization edit is denied, a pharmacist is immediately provided a point-of-sale return message that:\n(A) clearly specifies the contact and other information necessary for the pharmacist to submit a prior authorization request for the prescription; and\n(B) instructs the pharmacist to dispense, only if clinically appropriate under federal or state law, a 72-hour supply of the prescription.\nAdded by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.","path":["GOVERNMENT CODE","TITLE 4. EXECUTIVE BRANCH","SUBTITLE I. HEALTH AND HUMAN SERVICES","CHAPTER 549. PROVISION OF DRUGS AND DRUG INFORMATION","SUBCHAPTER F. PRIOR AUTHORIZATION FOR CERTAIN DRUGS"],"source_url":"https://statutes.capitol.texas.gov/Docs/GV/htm/GV.549.htm#549.0258","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:16Z","sha256":"cc8ea11dbbae23fcf951a1a57c9ae6616b9b97bc1100e921a5b662f0b6710d0b","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-government-code-549.0257","next":"us-tx/tex.-government-code-549.0259"},"notice":"GroundRules: Original legal text. Not legal advice."}