Insurance Code § 1369.056
A health benefit plan issuer’s refusal to cover a prescription drug counts as an adverse determination if the drug is outside the plan formulary and the enrollee’s physician says it is medically necessary.
- Jurisdiction
- United States — Texas
- Instrument
- Code
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- Undated source snapshot
- Language
- en
- Official source
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appeals health benefits prescription drugs
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Insurance Code § 1369.056
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