Texas Insurance Code - Not Codified - Article 3.50-7A. Prior Authorization For Certain Drugs Provided Under Texas School Employees Uniform Group Coverage Program
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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
Article: 3.39a 3.40 3.40-1 3.41 3.41a 3.49-3 3.50-7A 3.50-7A 3.50-7B 3.51 3.51-1 3.51-2 3.51-4 3.51-5 3.51-7
Last modified: August 11, 2007
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