Tex. Ins. Code § 1369.605 – Network Contract Fee Schedule

A pharmacy benefit network contract must include a fee schedule. The fee schedule must describe:

(1) specific services or procedures that the pharmacist or pharmacy may deliver and the amount of the corresponding payment;
(2) a methodology for calculating the amount of the payment based on a published fee schedule; or
(3) any other reasonable manner that provides an ascertainable amount for payment for services.
Redesignated from Insurance Code, Section 1369.555 by Acts 2023, 88th Leg., R.S., Ch. 768 (H.B. 4595), Sec. 24.001(27), eff. September 1, 2023.

Added by Acts 2021, 87th Leg., R.S., Ch. 142 (H.B. 1763), Sec. 1, eff. September 1, 2021.

Acts 2025, 89th Leg., R.S., Ch. 183 (S.B. 1236), Sec. 5, eff. September 1, 2025.