Medical Provider

Pharmacy Fees

• Pharmacy Fees Rule 18-6(O)

  • Prescription reimbursement Rule 18-6(O)(1)

  • National Drug Code (NDC) Rule 18-6(O)(2)

  • Generic Drugs, bio-equivalent Rule 18-6(O)(3)

  • Prescription reimbursement Rule 18-6(O)(4)

  • Drug Supply, 60-day limit Rule 18-6(O)(5)

  • Line-by-line itemization, Drug Rule 18-6(O)(6)

  • Average Wholesale Price (AWP), Drugs Rule 18-6(O)(7)

  • Compounding Pharmacies Rule 18-6(O)(8)

  • Reimbursement to injured worker, drugs Rule 18-6(O)(9)

  • Dietary Supplements Rule 18-6(O)(10)

  • Vitamins Rule 18-6(O)(10)

  • Herbal Medicines Rule 18-6(O)(10)

  • Prescription Writing Rule 18-6(O)(11)

  • Provider Reimbursement, Drugs Rule 18-6(O)(12)

  • Billing Forms, Drugs Rule 18-6(O)(13)

    • CMS 1500 (08-05), drugs Rule 18-6(O)(13)(a)(1)

    • WC-M4 Rule 18-6(O)(13)(a)(2)

    • Electronic Formats, Drugs Rule 18-6(O)(13)(a)(3)

  • Non-National Drug Coded prescriptions Rule 18-6(O)(13)(b)

  • Prescription, incomplete, denial Rule 18-6(O)(13)(c)

  • Signature for prescription Rule 18-6(O)(13)(d)

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