Tex. Ins. Code § 1369.353 · Subchapter H. MAXIMUM ALLOWABLE COST
CRITERIA FOR DRUGS ON MAXIMUM ALLOWABLE COST LISTS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
A health benefit plan issuer or pharmacy benefit manager may not include a drug on a maximum allowable cost list unless:
(1) the drug:
(A) has an "A" or "B" rating in the most recent version of the United States Food and Drug Administration's Approved Drug Products with Therapeutic Equivalence Evaluations, also known as the Orange Book; or
(B) is rated "NR" or "NA" or has a similar rating by a nationally recognized reference; and
(2) the drug is:
(A) generally available for purchase by pharmacists and pharmacies in this state from a national or regional wholesaler; and
(B) not obsolete.
Notes and commentary — not statutory text
History
Added by Acts 2015, 84th Leg., R.S., Ch. 596 (S.B. 332), Sec. 1, eff. January 1, 2016.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1369.htm
- Text hash
- sha256 31b0608b36a27895d0954af40e569a30a7912867845029b81b9c53cc2338c0dd
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.