Louisiana Administrative Code
Title 40 - LABOR AND EMPLOYMENT
Part I - Workers' Compensation Administration
Subpart 2 - Medical Guidelines
Chapter 29 - Pharmacy Reimbursement Schedule, Billing Instruction and Maintenance Procedures
Section I-2909 - Noncovered Services

Universal Citation: LA Admin Code I-2909

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

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.

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

Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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