N.Y. Comp. Codes R. & Regs. tit. 12 § 440.6

Current through Register Vol. 46, No. 25, June 18, 2024

Section 440.6 - Prescription drugs or medicines

(a) When a brand name drug is prescribed to treat an injury for which a self-insured employer or insurance carrier is liable pursuant to Workers' Compensation Law Section 13, a generic drug equivalent, if a generic equivalent is available, shall be provided unless the prescribing physician obtains Prior Authorization pursuant to subdivision (m) of section 441.1.

(b) A billing statement submitted to a self-insured employer or carrier for a prescription drug that has been dispensed shall include the national drug code number of the prescription drug as listed in the national drug code directory maintained by the federal Food and Drug Administration and shall state separately the maximum reimbursement (as set forth in subdivision of section 440.5 herein) of the prescription drug and the dispensing fee as applicable.

N.Y. Comp. Codes R. & Regs. Tit. 12 § 440.6

Amended New York State Register April 17, 2019/Volume XLI, Issue 16, eff. 4/17/2019

Amended New York State Register April 17, 2019/Vol. XLI, Issue 16, eff. 10/1/2019