Legal Research Home > Texas Lawyer > Insurance Code - Not Codified > Texas Insurance Code - Not Codified - Article 3.50-7A. Prior Authorization For Certain Drugs Provided Under Texas School Employees Uniform Group Coverage Program

Art. 3.50-7A. PRIOR AUTHORIZATION FOR CERTAIN DRUGS PROVIDED UNDER TEXAS SCHOOL EMPLOYEES UNIFORM GROUP COVERAGE PROGRAM. Text of article as added by Acts 2003, 78th Leg., ch. 213, Sec. 4 (a) In this article, "drug formulary" means a list of drugs preferred for use and eligible for coverage by a health coverage plan. (b) A health coverage plan provided under the uniform group coverage program established under Article 3.50-7 of this code 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: (1) a gastrointestinal drug; (2) a cholesterol-lowering drug; (3) an anti-inflammatory drug; (4) an antihistamine drug; and (5) an antidepressant drug. (c) Every six months the Teacher Retirement System of Texas shall submit to the comptroller and Legislative Budget Board a report regarding any cost savings achieved in the uniform group coverage program through implementation of the prior authorization requirement of this article. A report must cover the previous six-month period. Added by Acts 2003, 78th Leg., ch. 213, Sec. 4, eff. Sept. 1, 2003. For text of article as added by Acts 2003, 78th Leg., ch. 201, Sec. 56, see Article 3.50-7A, ante

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Last modified: August 10, 2007