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Texas Insurance Code - INS § 1369.604. Reimbursement of Affiliated and Nonaffiliated Pharmacists and Pharmacies

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

(a) In this section:

(1) “Affiliated pharmacist or pharmacy” means a pharmacist or pharmacy that directly, or indirectly through one or more intermediaries, controls or is controlled by, or is under common control with, a pharmacy benefit manager.

(2) “Nonaffiliated pharmacist or pharmacy” means a pharmacist or pharmacy that does not directly, or indirectly through one or more intermediaries, control and is not controlled by or under common control with a pharmacy benefit manager.

(b) A pharmacy benefit manager may not pay an affiliated pharmacist or pharmacy a reimbursement amount that is more than the amount the pharmacy benefit manager pays a nonaffiliated pharmacist or pharmacy for the same pharmacist service.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 1369.604. Reimbursement of Affiliated and Nonaffiliated Pharmacists and Pharmacies - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1369-604/

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