Tex. Ins. Code § 1369.453 · Subchapter J. COVERAGE RELATED TO PRESCRIPTION DRUG SYNCHRONIZATION
APPLICABILITY TO CERTAIN MEDICATIONS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
This subchapter applies with respect to only a medication that:
(1) is covered by the enrollee's health benefit plan;
(2) meets the prior authorization criteria specifically applicable to the medication under the health benefit plan on the date the request for synchronization is made;
(3) is used for treatment and management of a chronic illness, as that term is defined by Section 1369.456;
(4) may be prescribed with refills;
(5) is a formulation that can be effectively dispensed in accordance with the medication synchronization plan described by Section 1369.456; and
(6) is not, according to the schedules established by the commissioner of the Department of State Health Services under Chapter 481, Health and Safety Code:
(A) a Schedule II controlled substance; or
(B) a Schedule III controlled substance containing hydrocodone.
Notes and commentary — not statutory text
History
Added by Acts 2017, 85th Leg., R.S., Ch. 1007 (H.B. 1296), Sec. 1, eff. September 1, 2017.
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 80238786b903b8100f54f3464e0a122d98b6fbffa6289d4f2b8ee7daa45a3d82
- 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
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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.