Texas Statutes (Last Updated: January 4, 2014) |
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 B. COVERAGE OF PRESCRIPTION DRUGS SPECIFIED BY DRUG FORMULARY |
Sec. 1369.051. DEFINITIONS
Latest version.
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In this subchapter:
(1) "Drug formulary" means a list of drugs:
(A) for which a health benefit plan provides coverage;
(B) for which a health benefit plan issuer approves payment; or
(C) that a health benefit plan issuer encourages or offers incentives for physicians to prescribe.
(2) "Enrollee" means an individual who is covered under a health benefit plan, including a covered dependent.
(3) "Physician" means a person licensed as a physician by the Texas State Board of Medical Examiners.
(4) "Prescription drug" has the meaning assigned by Section 551.003, Occupations Code.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005. Amended by: Acts 2011, 82nd Leg., R.S., Ch. 501 , Sec. 1, eff. September 1, 2011.