Pennsylvania Code (Last Updated: April 5, 2016) |
Title 34. LABOR AND INDUSTRY |
PART VIII. Bureau of Workers Compensation |
Chapter 127. Workers Compensation Medical Cost Containment |
SubChapter B. MEDICAL FEES AND FEE REVIEW |
Section 127.135. Payments for prescription drugs and pharmaceuticalsdrugs dispensed at a physicians office
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(a) When a prescription is filled at a physicians office, payment for the prescription drug shall be limited to 110% of the average wholesale price of the product.
(b) Physicians may not bill, or otherwise hold the employe liable, for the difference between the actual charge for the prescription drug and 110% of the AWP of the product.