28 Tex. Admin. Code § 3.4202 - Definitions
The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise.
(1) Health
insurance policy--An individual, group, blanket, or franchise insurance policy,
insurance policy or agreement, or group hospital service contract that provides
benefits for pharmaceutical services that are necessary as a result of or to
prevent an accident or sickness. The term does not include evidence of coverage
provided by a health maintenance organization under the Health Maintenance
Organization Act (the Insurance Code, Chapter 20A). The term includes a health
insurance policy that incorporates a preferred provider benefit plan.
(2) Insurer--Any life, health and accident;
health and accident; or health insurance company or company operating pursuant
to the Insurance Code, Chapters 3, 10, 20, 22 and 26 authorized to issue,
deliver, issue for delivery or renew in this state health insurance policies
approved under the Insurance Code, Article 3.42.
(3) Pharmaceutical services--Services,
including dispensing prescription drugs as defined in the Pharmacy Act, Texas
Civil Statutes, Article 4542a-1, §5, that are ordinarily and customarily
rendered by a pharmacy or pharmacist licensed to practice pharmacy under the
Pharmacy Act, Texas Civil Statutes, Article 4542a-1. The term does not include
mail order services.
(4)
Pharmacist--A person licensed to practice pharmacy under the Pharmacy Act,
Texas Civil Statutes, Article 4542a-1.
(5) Pharmacy--A facility licensed under the
Pharmacy Act, Texas Civil Statutes, Article 4542a-1, §29.
Notes
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