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Do You Know the Rule? Ohio Reimbursement for First Fill of Outpatient Medications

09 Sep, 2022 Frank Ferreri

                               

Columbus, OH (WorkersCompensation.com) -- Recently, Ohio updated its rule governing the first fill of outpaient medications. Part of that rule covers limitations on the reimbursement of outpatient medication. 

So what curbs does the Buckeye State have on medication reimbursements? Here's a breakdown:

Quantity

  • Approval for reimbursement of medications under the first fill program is limited to quantity limits that depend on the medication at issue.
  • No refills will be approved.

Drug Classes

  • Except for antivirals, antiretrovirals, and antibiotics, approval for reimbursement of medications under the first fill program are limited to one drug per therapeutic drug class.

Compounded Perscriptions

  • Extemporaneous compounded prescribtions are not eligible for remimbursement under the first fill program.

Forms, email updates, legal, regulatory, and compliance information from Ohio and 52 other jurisdictions across the U.S. can be found on WorkCompResearch.com.

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    About The Author

    • Frank Ferreri

      Frank Ferreri, M.A., J.D. covers workers' compensation legal issues. He has published books, articles, and other material on multiple areas of employment, insurance, and disability law. Frank received his master's degree from the University of South Florida and juris doctor from the University of Florida Levin College of Law. Frank encourages everyone to consider helping out the Kind Souls Foundation and Kids' Chance of America.

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