Sec. 1369.352. CERTAIN BENEFITS EXCLUDED. This subchapter does not apply to maximum allowable costs for pharmacy benefits provided under:
(1) a Medicaid managed care program operated under Chapter 533, Government Code;
(2) a Medicaid program operated under Chapter 32, Human Resources Code;
(3) the child health plan program under Chapter 62, Health and Safety Code;
(4) the health benefits plan for children under Chapter 63, Health and Safety Code;
(5) a health benefit plan issued under Chapter 1551, 1575, 1579, or 1601; or
(6) a workers' compensation insurance policy or other form of providing medical benefits under Title 5, Labor Code.
Added by Acts 2015, 84th Leg., R.S., Ch. 596 (S.B. 332), Sec. 1, eff. January 1, 2016.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle E - Benefits Payable Under Health Coverages
Chapter 1369 - Benefits Related to Prescription Drugs and Devices and Related Services
Subchapter H. Maximum Allowable Cost
Section 1369.352. Certain Benefits Excluded
Section 1369.353. Criteria for Drugs on Maximum Allowable Cost Lists
Section 1369.354. Formulation of Maximum Allowable Costs; Disclosures
Section 1369.356. Access to Maximum Allowable Cost Lists
Section 1369.357. Appeal From Maximum Allowable Cost Price Determination
Section 1369.358. Confidentiality of Maximum Allowable Cost List
Section 1369.359. Waiver Prohibited