Section 1575.170 - Prior Authorization for Certain Drugs(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a cholesterol-lowering drug;(3) an anti-inflammatory drug;(4) an antihistamine; and(5) an antidepressant drug.(c) Repealed by Acts 2013, 83rd Leg., R.S., Ch. 1312, Sec. 99(27), eff.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.Tex. Ins. Code § 1575.170
Amended by Acts 2017, Texas Acts of the 85th Leg. - Regular Session, ch. 712,Sec. 17, eff. 9/1/2017.Amended by Acts 2013, 83rd Leg. - Regular Session, ch. 1312,Sec. 99, eff. 9/1/2013.Added by Acts 2003, 78th Leg., ch. 213, Sec. 3, eff. 9/1/2003. Renumbered from Insurance Code Sec. 1575.161 by Acts 2003, 78th Leg., 3rd C.S., ch. 3, Sec. 16.07, eff. 1/11/2004. See Acts 2017, Texas Acts of the 85th Leg. - Regular Session, ch. 712, Sec. 25.