The proposed rules establish a "lesser of" provision for the reimbursement of prescription drugs. The rules also state that when an injured worker chooses to receive a brand name drug instead of the prescribed generic drug, the health care provider must dispense the brand name drug as requested and will be reimbursed by the carrier for the fee established for the generic drug. The cost difference is paid by the worker. The pharmacist determines the costs of both the brand name and generic drugs. Public comments should be e-mailed to email@example.com by Aug. 1. For a copy of the proposed rules, visit www.tdi.state.tx.us/wc/rules/proposedrules/documents/prrxfg611.pdf.
Read more at the WorkersComp Forum homepage.
July 29, 2011
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