La. Admin. Code tit. 40 § I-2909

Current through Register Vol. 50, No. 9, September 20, 2024

Section I-2909 - Noncovered Services

A. The workers' compensation insurer will not make payment for:

1. over-the-counter (OTC) drugs and supplies unless prescribed by the treating physician of record. All over-the-counter and Schedule V preparations must be prescribed by a medical practitioner licensed to write prescriptions. Approved OTC drugs are reimbursed the same as legend drugs;

2. drugs or disposable needles and syringes dispensed while a patient in a hospital, nursing home, or other institution;

3. experimental or investigative drugs which have not been approved by FDA;

4. vitamins, vitamin injections, or vitamin therapy of any kind;

5. diet pills or drugs for the purpose of weight reduction unless the treating physician can provide prior justification;

6. charges for any prescription, or item of merchandise or service, not related to the qualifying illness or injury;

7. pharmacy charges incurred in conjunction with non-work related conditions; or

8. items or services which are furnished gratuitously without regard to the individual's ability to pay, and without expectation of payment from any source.

La. Admin. Code tit. 40, § I-2909

Promulgated by the Department of Labor, Office of Workers' Compensation, LR 19:54 (January 1993), repromulgated LR 19:212 (February 1993), amended LR 20:1299 (November 1994).

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.