Text of section effective on April 01, 2025

Sec. 549.0453.  RULES.  (a)  The executive commissioner shall adopt rules necessary for implementing the state prescription drug program.
(b)  In adopting rules for the state prescription drug program, the executive commissioner:
(1)  shall consult with an advisory panel composed of an equal number of physicians, pharmacists, and pharmacologists the executive commissioner appoints; and
(2)  may:
(A)  require an individual who is eligible for prescription drug benefits to pay a cost-sharing payment;
(B)  authorize the use of a prescription drug formulary to specify which prescription drugs the state prescription drug program will cover;
(C)  to the extent possible, require clinically appropriate prior authorization for prescription drug benefits in the same manner as prior authorization is required under the vendor drug program; and
(D)  establish a drug utilization review program to ensure the appropriate use of prescription drugs under the state prescription drug program.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.