Tex. Insurance Code § 1575.170
PRIOR AUTHORIZATION FOR CERTAIN DRUGS
Texas · Texas Insurance Code · Status: effective
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- Tex. Insurance Code § 1575.170, PRIOR AUTHORIZATION FOR CERTAIN DRUGS, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/683055
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(a) In this section, "drug formulary" means a list of drugs preferred for use and eligible for coverage under a health benefit plan.
(b) A health benefit plan provided under this chapter, other than a Medicare Advantage plan or a Medicare prescription drug plan, 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; and
(5) an antidepressant drug.
(c) Repealed by Acts 2013, 83rd Leg., R.S., Ch. 1312, Sec. 99(27), eff. September 1, 2013.