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Current as of January 01, 2024 | Updated by Findlaw Staff
A health benefit plan issuer or pharmacy benefit manager may not include a drug on a maximum allowable cost list unless:
(1) the drug:
(A) has an “A” or “B” rating in the most recent version of the United States Food and Drug Administration's Approved Drug Products with Therapeutic Equivalence Evaluations, also known as the Orange Book; or
(B) is rated “NR” or “NA” or has a similar rating by a nationally recognized reference; and
(2) the drug is:
(A) generally available for purchase by pharmacists and pharmacies in this state from a national or regional wholesaler; and
(B) not obsolete.
Cite this article: FindLaw.com - Texas Insurance Code - INS § 1369.353. Criteria for Drugs on Maximum Allowable Cost Lists - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1369-353/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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