Texas Insurance Code 4151.154 – Discount Health Care Programs
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Terms Used In Texas Insurance Code 4151.154
- in writing: includes any representation of words, letters, or figures, whether by writing, printing, or other means. See Texas Government Code 312.011
A pharmacy benefit manager may not require a pharmacist or pharmacy to:
(1) accept or process a claim for prescription drugs under a discount health care program as defined by Section 7001.001 unless the pharmacist or pharmacy agrees in writing to accept or process the claim;
(2) participate in a specified provider network as a condition of processing a claim for prescription drugs under a discount health care program; or
(3) participate in, or process claims under, a discount health care program as a condition of participation in a provider network.