Texas Insurance Code - INS § 1575.170. Prior Authorization for Certain Drugs

(a) In this section, “drug formulary” means a list of drugs preferred for use and eligible for coverage under a health benefit plan.

(b) A health benefit plan provided under this chapter, other than a Medicare Advantage plan or a Medicare prescription drug plan, that uses a drug formulary in providing a prescription drug benefit must require prior authorization for coverage of the following categories of prescribed drugs if the specific drug prescribed is not included in the formulary:

(c) Repealed by Acts 2013, 83rd Leg., ch. 1312 (S.B. 59), § 99(27).