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Texas Insurance Code - INS § 1369.554. Prohibition on Certain Communications

Current as of January 01, 2024 | Updated by Findlaw Staff

(a) A health benefit plan issuer or pharmacy benefit manager may not steer or direct a patient to use the issuer's or manager's affiliated provider through any oral or written communication, including:

(1) online messaging regarding the provider;  or

(2) patient- or prospective patient-specific advertising, marketing, or promotion of the provider.

(b) This section does not prohibit a health benefit plan issuer or pharmacy benefit manager from including the issuer's or manager's affiliated provider in a patient or prospective patient communication, if the communication:

(1) is regarding information about the cost or service provided by pharmacies or durable medical equipment providers in the network of a health benefit plan in which the patient or prospective patient is enrolled;  and

(2) includes accurate comparable information regarding pharmacies or durable medical equipment providers in the network that are not the issuer's or manager's affiliated providers.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 1369.554. Prohibition on Certain Communications - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1369-554/

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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