Committee hears bill to allow subscription pharmacy programs such as RxPass in Texas

May 14, 2025

House Bill 24 02 would exempt subscriber‑only pharmacy subscription prices from Medicaid’s usual and customary price calculation so subscription programs such as RxPass can operate in Texas without forcing Medicaid reimbursements to follow subscriber discounts.

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House Bill 24 02 would clarify that pharmacy subscription programs (for example, RxPass) that charge a monthly fee for access to a defined list of generics should not be included in Medicaid’s calculation of a pharmacy’s usual and customary (U&C) price where the subscription price is not publicly available in the community market. Supporters told the committee that many states allow subscription‑style pharmacy programs and that RxPass is available in 48 other states; Amazon Pharmacy and AARP Texas both testified in support.

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