Regulations
| 9792.27.10....MTUS Drug List; Exempt Drugs, Non-Exempt Drugs, Unlisted Drugs, Prospective Review | |
| (a) The MTUS Drug List is set forth by active drug ingredient(s). Â (c) For a drug that is identified as âNon-Exempt,â authorization through prospective ...more | |
| 9792.27.12....MTUS Drug List - Special Fill | |
| (a) The MTUS Drug List identifies drugs that are subject to the Special Fill policy. Under this policy, a drug that usually requires prospective review because it is ...more | |
| 9792.27.13....MTUS Drug List - Perioperative Fill | |
| (a) The MTUS Drug List identifies drugs that are subject to the Perioperative Fill policy. Under this policy, the Non-Exempt drug identified as a Perioperative Fill drug ...more | |
| 9792.27.15....MTUS Drug List | |
| %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B Note: Authority cited: ...more | |
| 9792.27.2....MTUS Drug Formulary; MTUS Drug List; Scope of Coverage; Effective Date | |
| Â (b) Except for continuing drug treatment subject to section 9792. 27. 3, subdivision (b), a drug dispensed on or after January 1, 2018 for outpatient use shall be ...more | |
| 9792.27.23....MTUS Drug List Updates | |
| (a) The Administrative Director shall consult with the P&T Committee as needed on updates to the MTUS Drug List, which may be adopted by the Administrative Director on a ...more | |
| 9792.27.3....MTUS Drug Formulary Transition | |
| (a) Except as provided in subdivision (b), the MTUS Drug Formulary applies to drugs dispensed on or after January 1, 2018, regardless of the date of injury. Â (b)(1) ...more | |
| 9792.27.4....MTUS Drug Formulary - Pharmacy Networks; Pharmacy Benefit Manager Contracts | |
| Where an employer or insurer contracts pursuant to Labor Code section 4600. 2 with a pharmacy, a pharmacy benefit manager, or pharmacy network for the provision of drugs ...more | |
| 9792.27.5....MTUS Drug Formulary - Off-Label Use | |
| (a) Off-label use of a drug shall be in accordance with the MTUS Treatment Guidelines and rules and the MTUS Drug Formulary. Â (b) Authorization through prospective ...more | |
| 9792.27.6....MTUS Drug Formulary - Access to Drugs Not Listed as an Exempt Drug on the MTUS Drug List | |
| (a) Drug treatment that is in conformity with the MTUS Treatment Guidelines is presumed correct on the issue of extent and scope of medical treatment pursuant to section ...more | |
