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Texas Statutes (Last Updated: January 4, 2014) |
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INSURANCE CODE |
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Title 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES |
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Subtitle H. HEALTH BENEFITS AND OTHER COVERAGES FOR GOVERNMENTAL EMPLOYEES |
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Chapter 1560. DELIVERY OF PRESCRIPTION DRUGS BY MAIL |
Sec. 1560.003. MULTIPLE-MONTH SUPPLY OF PRESCRIPTION DRUG
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(a) In this section, "multiple-month supply" means a supply for 60 or more days.
(b) Notwithstanding any other law, an issuer of a health benefit plan that provides pharmacy benefits to enrollees must allow an enrollee to obtain from a community retail pharmacy a multiple-month supply of any prescription drug under the same terms and conditions applicable when the prescription drug is obtained from a mail order pharmacy, if the community retail pharmacy agrees to accept reimbursement on exactly the same terms and conditions that apply to a mail order pharmacy.
(c) This section does not require:
(1) the issuer of a health benefit plan to contract with:
(A) a retail pharmacy that does not agree to accept reimbursement on exactly the same terms and conditions that apply to a mail order pharmacy; or
(B) more than one mail order pharmacy; or
(2) a community retail pharmacy to:
(A) provide a multiple-month supply of a prescription drug under the same terms and conditions applicable when the prescription drug is obtained from a mail order pharmacy; or
(B) agree to accept reimbursement on exactly the same terms and conditions that apply to a mail order pharmacy.