Sec. 1369.455. PRORATION OF DISPENSING FEE PROHIBITED. A health benefit plan that prorates a cost-sharing amount as required by Section 1369.454 may not prorate the fee paid to the pharmacy for dispensing the drug for which the cost-sharing amount was prorated.
Added by Acts 2017, 85th Leg., R.S., Ch. 1007 (H.B. 1296), Sec. 1, eff. September 1, 2017.
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 J. Coverage Related to Prescription Drug Synchronization
Section 1369.452. Applicability of Subchapter
Section 1369.453. Applicability to Certain Medications
Section 1369.454. Proration of Cost-Sharing Amount Required
Section 1369.455. Proration of Dispensing Fee Prohibited
Section 1369.456. Implementation of Certain Medication Synchronization Plans