Texas Insurance Code 1369.402 – Certain Fees Prohibited
Current as of: 2024 | Check for updates
|
Other versions
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.
