{"data":{"id":"us-tx/tex.-insurance-code-1369.604","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1369.604","heading":"REIMBURSEMENT OF AFFILIATED AND NONAFFILIATED PHARMACISTS AND PHARMACIES.","body":"(a) In this section:\n(1) \"Affiliated pharmacist or pharmacy\" means a pharmacist or pharmacy that directly, or indirectly through one or more intermediaries, controls or is controlled by, or is under common control with, a pharmacy benefit manager.\n(2) \"Nonaffiliated pharmacist or pharmacy\" means a pharmacist or pharmacy that does not directly, or indirectly through one or more intermediaries, control and is not controlled by or under common control with a pharmacy benefit manager.\n(b) A pharmacy benefit manager may not pay an affiliated pharmacist or pharmacy a reimbursement amount that is more than the amount the pharmacy benefit manager pays a nonaffiliated pharmacist or pharmacy for the same pharmacist service.\nAdded by Acts 2021, 87th Leg., R.S., Ch. 142 (H.B. 1763), Sec. 1, eff. September 1, 2021.\nRedesignated from Insurance Code, Section 1369.554 by Acts 2023, 88th Leg., R.S., Ch. 768 (H.B. 4595), Sec. 24.001(27), eff. September 1, 2023.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES","CHAPTER 1369. BENEFITS RELATED TO PRESCRIPTION DRUGS AND DEVICES AND RELATED SERVICES","SUBCHAPTER M. CONTRACTS WITH PHARMACISTS AND PHARMACIES"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1369.htm#1369.604","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"005a089d6fe436afe2b7524c13c788e90956328d522b5ae3d6b35ba455fe613d","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1369.603","next":"us-tx/tex.-insurance-code-1369.605"},"notice":"GroundRules: Original legal text. Not legal advice."}