Texas § 1358.103 LIMIT ON COST-SHARING REQUIREMENT.

Texas Statutes

§ 1358.103 — LIMIT ON COST-SHARING REQUIREMENT.

Texas § 1358.103

Code INInsurance Code

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Bluebook

Tex. Insurance Code Code Ann. § 1358.103 (2026).

Text

Sec. 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.

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Sec. 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.