This subchapter applies with respect to only a medication that:

1. (1) is covered by the enrollee's health benefit plan;
2. (2) meets the prior authorization criteria specifically applicable to the medication under the health benefit plan on the date the request for synchronization is made;
3. (3) is used for treatment and management of a chronic illness, as that term is defined by Section 1369.456;
4. (4) may be prescribed with refills;
5. (5) is a formulation that can be effectively dispensed in accordance with the medication synchronization plan described by Section 1369.456; and

6. (6) is not, according to the schedules established by the commissioner of the Department of State Health Services under Chapter 481, Health and Safety Code:

   1. (A) a Schedule II controlled substance; or
   2. (B) a Schedule III controlled substance containing hydrocodone.

Added by Acts 2017, 85th Leg., R.S., Ch. 1007 (H.B. 1296), Sec. 1, eff. September 1, 2017.