Texas § 1369.501 DEFINITIONS.

Texas Statutes

§ 1369.501 — DEFINITIONS.

Texas § 1369.501

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Bluebook

Tex. Insurance Code Code Ann. § 1369.501 (2026).

Text

Sec. 1369.501. DEFINITIONS. In this subchapter:

(1)"Animal health product" means a medical product approved and licensed for use in animal or veterinary medicine, including a pharmaceutical, a biologic, an insecticide, and a parasiticide.

(2)"Health benefit plan" means an individual, blanket, or group plan, policy, or contract for health care services issued or delivered by a health benefit plan issuer in this state.

(3)"Health benefit plan issuer" means an insurance company, a health maintenance organization, or a hospital and medical service corporation.

(4)"Pharmaceutical drug manufacturer" means a person engaged in the business of producing, preparing, propagating, compounding, converting, processing, packaging, labeling, or distributing a prescription drug. The term does not inclu

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Sec. 1369.501. DEFINITIONS. In this subchapter:
(1) "Animal health product" means a medical product approved and licensed for use in animal or veterinary medicine, including a pharmaceutical, a biologic, an insecticide, and a parasiticide.
(2) "Health benefit plan" means an individual, blanket, or group plan, policy, or contract for health care services issued or delivered by a health benefit plan issuer in this state.
(3) "Health benefit plan issuer" means an insurance company, a health maintenance organization, or a hospital and medical service corporation.
(4) "Pharmaceutical drug manufacturer" means a person engaged in the business of producing, preparing, propagating, compounding, converting, processing, packaging, labeling, or distributing a prescription drug. The term does not include a wholesale distributor or retailer of prescription drugs or a pharmacist licensed under Subtitle J, Title 3, Occupations Code.
(5) "Pharmacy benefit manager" has the meaning assigned by Section 4151.151 .
(6) "Prescription drug" has the meaning assigned by Section 551.003 , Occupations Code, except that the term "prescription drug" does not include a device or an animal health product.
(7) "Rebate" means a discount or concession that affects the price of a prescription drug to a pharmacy benefit manager or health benefit plan issuer for a prescription drug manufactured by the pharmaceutical drug manufacturer.
(8) "Specialty drug" means a prescription drug covered under Medicare Part D that exceeds the specialty tier cost threshold established by the Centers for Medicare and Medicaid Services.
(9) "Utilization management" means a set of formal techniques designed to monitor the use of, or evaluate the medical necessity, appropriateness, efficacy, or efficiency of, health care services, procedures, or settings.