Tex. Ins. Code § 1369.454 · Subchapter J. COVERAGE RELATED TO PRESCRIPTION DRUG SYNCHRONIZATION
PRORATION OF COST-SHARING AMOUNT REQUIRED.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A health benefit plan that provides benefits for prescription drugs shall prorate any cost-sharing amount charged for a partial supply of a prescription drug if:
(1) the pharmacy or the enrollee's prescribing physician or health care provider notifies the health benefit plan that:
(A) the quantity dispensed is to synchronize the dates that the pharmacy dispenses the enrollee's prescription drugs; and
(B) the synchronization of the dates is in the best interest of the enrollee; and
(2) the enrollee agrees to the synchronization.
(b) The proration described by Subsection (a) must be based on the number of days' supply of the drug actually dispensed.
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 bc96627bfd60c81e7dbc24bafd2203ed67f201f7e75f99c354c84b16588dc11a
- 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
Cited by 1 provision
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