Purpose: To advise the Commissioner on the technical, operational, and practical aspects of developing the single, standard prior authorization form required under Section 1369.304 for requesting prior authorization of prescription drug benefits.
| Name | Member type | Employer |
|---|---|---|
| Kimberly Martin | Consumer | Epilepsy Foundation of Central & South Texas |
| Linda Baker | Health Benefit Plan Issuer | UnitedHealthcare |
| Vacant | Health Benefit Plan Networks of Providers | N/A |
| Dr. Shelagh Larson | Health Care Provider | Acclaim Physician Group |
| Dr. Lisa Ehrlich | Physician | L. Ehrlich & Associates Medical Clinic |
| Dr. Eddie Patton | Hospital | Methodist Sugar Land Hospital |
| Becky Annen | Pharmacist | Prime Therapeutics |
| Dr. Anthony Harris | Pharmacy Benefit Manager | Navitus Health Solutions |
| Dr. Heather Morel | Specialty Drug Distributor | McKesson Corporation |
| Dr. Chantelle Parker | Specialty Pharmacy | Walgreens Co. (Houston) |
| Nahid Assadi | HHSC Designee | Texas Health and Human Services Commission |
| Debra Diaz Lara | Commissioner Designee | Texas Department of Insurance |
In accordance with Section 1369.305 of the Texas Insurance Code, the advisory committee shall be composed of commissioner of insurance or the commissioner's designee, the executive commissioner of the Health and Human Services Commission or the executive commissioner's designee and an equal number of members from the following groups of stakeholders:
- physicians;
- other prescribing health care providers;
- consumers experienced with prior authorizations;
- hospitals;
- pharmacists;
- specialty pharmacies;
- pharmacy benefit managers;
- specialty drug distributors;
- health benefit plan issuers for the Texas Health Insurance Pool established under Chapter 1506;
- health benefit plan issuers; and
- health benefit plan networks of provider.
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