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CA DWC Addresses Rx Not Covered by Medi-Cal Schedule

Wednesday, January 28, 2004 | 0

The California Division of Workers' Compensation has issued Bulletin No. 7-04, dated January 27, 2004 concerning payment for pharmaceuticals not covered by Medi-Cal fee schedule: Labor Code Section 5307.1 , subdivisions (a), (d) and (e), enacted last year as part of Senate Bill 228, govern the payments for pharmaceuticals under DWC's official medical fee schedule (OMFS). These sections state that: "(a) ...for pharmacy services and drugs that are not otherwise covered by a Medicare fee schedule payment for facility services, the maximum reasonable fees shall be 100% of fees prescribed...

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