Tex. Ins. Code § 1369.402 · Subchapter I. PHARMACY BENEFIT CLAIM ADJUDICATION
CERTAIN FEES PROHIBITED.
Text — Current through the 89th 2nd Called Legislative Session, 2025
A health benefit plan issuer or a pharmacy benefit manager may not directly or indirectly charge or hold a pharmacist or pharmacy responsible for a fee for any step of or component or mechanism related to the claim adjudication process, including:
(1) the adjudication of a pharmacy benefit claim;
(2) the processing or transmission of a pharmacy benefit claim;
(3) the development or management of a claim processing or adjudication network; or
(4) participation in a claim processing or adjudication network.
Notes and commentary — not statutory text
History
Added by Acts 2015, 84th Leg., R.S., Ch. 10 (S.B. 94), Sec. 1, eff. September 1, 2015.
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 f27f2a81a43d793fc675e21882453450d71d4d26e28ef4fe13b2246c27861c8f
- 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.