Md. Code Regs. 10.09.21.05

Current through Register Vol. 52, No. 1, January 10, 2025

Section 10.09.21.05 - Limitations

The following are not covered:

A. Pharmacist administered drugs obtained from manufacturers who do not participate in the federal Drug Rebate Program;

B. Medical supplies usually included in an office visit;

C. Services not medically necessary;

D. Investigational and experimental drugs and procedures;

E. Procedures solely for cosmetic purposes; and

F. Services denied by Medicare as not medically justified.

Md. Code Regs. 10.09.21.05

Regulation .05 amended effective July 25, 1988 (15:14 Md. R. 1655); repealed effective 44:17 Md. R. 834, eff. 8/28/2017; amended effective 45:26 Md. R. 1242, eff. 12/31/2018; amended effective 51:26 Md. R. 1187, eff. 1/6/2025.