Tex. Ins. Code Section 1560.003
Multiple-month Supply of Prescription Drug

(a)

In this section, “multiple-month supply” means a supply for 60 or more days.

(b)

Notwithstanding any other law, an issuer of a health benefit plan that provides pharmacy benefits to enrollees must allow an enrollee to obtain from a community retail pharmacy a multiple-month supply of any prescription drug under the same terms and conditions applicable when the prescription drug is obtained from a mail order pharmacy, if the community retail pharmacy agrees to accept reimbursement on exactly the same terms and conditions that apply to a mail order pharmacy.

(c)

This section does not require:

(1)

the issuer of a health benefit plan to contract with:

(A)

a retail pharmacy that does not agree to accept reimbursement on exactly the same terms and conditions that apply to a mail order pharmacy; or

(B)

more than one mail order pharmacy; or

(2)

a community retail pharmacy to:

(A)

provide a multiple-month supply of a prescription drug under the same terms and conditions applicable when the prescription drug is obtained from a mail order pharmacy; or

(B)

agree to accept reimbursement on exactly the same terms and conditions that apply to a mail order pharmacy.
Added by Acts 2009, 81st Leg., R.S., Ch. 1207 (S.B. 704), Sec. 5, eff. September 1, 2009.

Source: Section 1560.003 — Multiple-month Supply of Prescription Drug, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1560.­htm#1560.­003 (accessed Jun. 5, 2024).

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Accessed:
Jun. 5, 2024

§ 1560.003’s source at texas​.gov