Tex. Insurance Code § 1369.605
NETWORK CONTRACT FEE SCHEDULE
Texas · Texas Insurance Code · Status: effective
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- Citation
- Tex. Insurance Code § 1369.605, NETWORK CONTRACT FEE SCHEDULE, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/682285
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Full text
A pharmacy benefit network contract must include a fee schedule. The fee schedule must describe:
(1) specific services or procedures that the pharmacist or pharmacy may deliver and the amount of the corresponding payment;
(2) a methodology for calculating the amount of the payment based on a published fee schedule; or
(3) any other reasonable manner that provides an ascertainable amount for payment for services.