Section 1551.224 - Mail Order Requirement for Prescription Drug Coverage Prohibited(a) The board of trustees or a health benefit plan under this chapter that provides benefits for prescription drugs may not require a participant in the group benefits program to purchase a prescription drug through a mail order program.(b) Except as provided by Subsection (c), the board of trustees or a health benefit plan shall require that a participant who chooses to obtain a prescription drug through a retail pharmacy or other method other than by mail order pay a deductible, copayment, coinsurance, or other cost-sharing obligation to cover the additional cost of obtaining a prescription drug through that method rather than by mail order.(c) The board of trustees or a health benefit plan may not require a participant who obtains a multiple-month supply of a prescription drug from a retail pharmacy under Section 1560.003 to pay a deductible, copayment, coinsurance, or other cost-sharing obligation that differs from the amount the participant pays for a multiple-month supply of that drug through a mail order program.Tex. Ins. Code § 1551.224
Amended By Acts 2009, 81st Leg., R.S., Ch. 1207, Sec. 4, eff. 9/1/2009.Renumbered from Insurance Code, Section 1551.219 by Acts 2007, 80th Leg., R.S., Ch. 921, Sec. 17.001(52), eff. 9/1/2007.Added by Acts 2003, 78th Leg., ch. 213, Sec. 2, eff. 9/1/2003.