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California Code Of Regulations
Title 8 - Industrial RelationsDivision 1 - Department of Industrial RelationsChapter 4.5 - Division of Workers' CompensationSubchapter 1 - Administrative Director-Administrative Rules
Article 5.5.2 - Medical Treatment Utilization Schedule
Section 9792.27.4 - Mtus Drug Formulary - Pharmacy Networks; Pharmacy Benefit Manager Contracts

Cal. Code Regs. tit. 8 § 9792.27.4

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Current through Register 2024 Notice Reg. No. 41, October 11, 2024
Section 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 for the treatment of injured workers, the drugs available to the injured worker must be consistent with the MTUS Treatment Guidelines and MTUS Drug Formulary for the condition or injury being treated, and may not be restricted pursuant to the contract.

Cal. Code Regs. Tit. 8, § 9792.27.4

1. New section filed 12-7-2017; operative 1-1-2018 pursuant to Government Code section 11343.4(b)(3) (Register 2017, No. 49).

Note: Authority cited: Sections 133, 4603.5, 5307.3 and 5307.27, Labor Code. Reference: Sections 4600, 4600.2, 4604.5 and 5307.27, Labor Code.

1. New section filed 12-7-2017; operative 1/1/2018 pursuant to Government Code section 11343.4(b)(3) (Register 2017, No. 49).