Section 1358.103 - Limit on Cost-Sharing Requirement(a) In this section, "insulin" means a prescription drug that contains insulin and is used to treat diabetes. The term does not include an insulin drug that is administered to a patient intravenously.(b) A health benefit plan may not impose a cost-sharing provision for insulin that is included in the health benefit plan's formulary if the total amount the enrollee is required to pay exceeds $25 per prescription for a 30-day supply, regardless of the amount or type of insulin needed to fill the enrollee's prescription.Tex. Ins. Code § 1358.103
Added by Acts 2021, Texas Acts of the 87th Leg. - Regular Session, ch. 589,Sec. 1, eff. 9/1/2021, op. to a health benefit plan that is delivered, issued for delivery, or renewed on or after January 1, 2022.