HOUSE AMENDMENT |
Bill No. HB 1837 CS |
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CHAMBER ACTION |
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Representative Brown offered the following: |
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Substitute Amendment for Amendment (176065) |
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Remove line(s) 2529-2540, and insert: |
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(c)(b)As to reimbursement for a prescription medication, |
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the reimbursement amount for a prescription shall be the average |
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wholesale price times 0.861.2 plus $4.26$4.18for the |
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dispensing fee, except where the carrier has contracted for a |
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lower amount. Fees for pharmaceuticals and pharmaceutical |
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services shall be reimbursable at the applicable fee schedule |
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amount. Where the employer or carrier has contracted for such |
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services and the employee elects to obtain them through a |
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provider not a party to the contract, the carrier shall |
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reimburse at the schedule, negotiated, or contract price, |
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whichever is lower. No such contract shall rely on a provider |
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that is not reasonably accessible to the employee.
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