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.
Added by Acts 2021, 87th Leg., R.S., Ch. 589 (S.B. 827), Sec. 1, eff. September 1, 2021.