20 Miss. Code R. § 2-III

Current through June 25, 2024
Section 20-2-III - RULES

In the event that the MWCC implements a drug formulary, the Formulary and any subsequent Pharmacy Fee Schedule will govern and supersede the rules in this Fee Schedule where they conflict.

A. Generic Equivalent Drug Products. Unless otherwise specified by the ordering physician, all prescriptions will be filled under the generic name.

When the physician writes "brand medically necessary" on the prescription, the pharmacist will fill the order with the brand name. When taking telephone orders, the pharmacist will assume the generic is to be used unless "brand medically necessary" is specifically ordered by the treating physician. Without exception, the treating physician has the authority to order a brand name medication if he/she feels the brand name drug is substantially more effective.

B. A payer or provider may not prohibit or limit any person from selecting a pharmacy or pharmacist of his/her choice, and may not require any person to purchase pharmacy services, including prescription drugs, exclusively through a mail-order pharmacy or program, or to obtain medication dispensed by the physician or in the physician's office, provided the pharmacy or pharmacist selected by the claimant has agreed to be bound by the terms of the Workers' Compensation Law and this Fee Schedule with regard to the provision of services and the billing and payment therefor.
C. Dietary supplements, including but not limited to minerals, vitamins, and amino acids are not reimbursable unless a specific compensable dietary deficiency has been clinically established as related to the work injury.
D. Not more than one dispensing fee shall be paid per drug within a thirty (30) day period.
E. Providers should refer to the Mississippi Workers' Compensation Commission Guidelines for the Prescription of Opiates for rules relating to opiate prescriptions. The guidelines are available on the MWCC website at https://mwcc.ms.gov/pdf/mwccGuidlinesForThePrescriptionOfOpiates.pdf [File Link Not Available] .

20 Miss. Code. R. § 2-III

Amended 6/14/2017
Amended 6/15/2019