Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1141 - PHYSICIANS' SERVICES
PAYMENT FOR PHYSICIANS' SERVICES
Section 1141.60 - Payment for medications dispensed or ordered in the course of an office visit

Physicians may be reimbursed for the actual cost of medications administered or dispensed to an eligible recipient in the course of an office or home visit providing the physician is certified for dispensing by the Office of Medical Assistance, Bureau of Provider Relations. There is no reimbursement to a physician for medical supplies or equipment dispensed in the course of an office or home visit. Payment for medical supplies and equipment is made only to pharmacies and medical suppliers participating in the Medical Assistance program.

Exception: Physicians may bill the Department for Rho(d) Immune Globulin, intrauterine devices, eyeglasses and for immunizing biologicals and antigens and drugs not provided by the Department of Health.