Sec. 1369.402. CERTAIN FEES PROHIBITED. A health benefit plan issuer or a pharmacy benefit manager may not directly or indirectly charge or hold a pharmacist or pharmacy responsible for a fee for any step of or component or mechanism related to the claim adjudication process, including:
(1) the adjudication of a pharmacy benefit claim;
(2) the processing or transmission of a pharmacy benefit claim;
(3) the development or management of a claim processing or adjudication network; or
(4) participation in a claim processing or adjudication network.
Added by Acts 2015, 84th Leg., R.S., Ch. 10 (S.B. 94), Sec. 1, eff. September 1, 2015.
Section: Previous 1369.305 1369.306 1369.351 1369.352 1369.353 1369.354 1369.355 1369.356 1369.357 1369.358 1369.359 1369.360 1369.361 1369.362 1369.401Last modified: September 28, 2016