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Texas Insurance Code - INS § 1369.654. Prohibition on Multiple Prior Authorizations

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

(a) A health benefit plan issuer that provides prescription drug benefits may not require an enrollee to receive more than one prior authorization annually of the prescription drug benefit for a prescription drug prescribed to treat an autoimmune disease, hemophilia, or Von Willebrand disease.

(b) This section does not apply to:

(1) opioids, benzodiazepines, barbiturates, or carisoprodol;

(2) prescription drugs that have a typical treatment period of less than 12 months;

(3) drugs that:

(A) have a boxed warning assigned by the United States Food and Drug Administration for use;  and

(B) must have specific provider assessment;  or

(4)  the use of a drug approved for use by the United States Food and Drug Administration in a manner other than the approved use.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 1369.654. Prohibition on Multiple Prior Authorizations - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1369-654/

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