Texas Members: If you’ve paid credentialing fees, you shouldn’t have!
If you have paid credentialing fees, make sure you file a complaint with the Texas Department of Insurance (TDI) to receive a refund. TPBC’s SB 94 broke major new ground for Texas retail pharmacy with a ban against PBM-assessed transaction fees. The law prohibits fees for network management services, inclusion in a network, services related to the adjudication of a claim, services for processing a claim, services related to transmitting a claim, or for developing a claims processing and adjudication network. It also gives the Texas Dept. of Insurance stronger enforcement capabilities.
Complaint Portal
Texas Task Force Recommends Pharmacy Reimbursement Floor as Part of Expansive Improvements to State-Sponsored Pharmacy Benefits.
In a comprehensive report, the Texas Pharmaceutical Initiative (TPI) Board outlined numerous opportunities to reduce costs, maintain access, and increase efficiency.
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