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.Tex. Ins. Code § 1560.003
Added by Acts 2009, 81st Leg., R.S., Ch. 1207, Sec. 5, eff. 9/1/2009.