La. Admin. Code tit. 40 § I-2904

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-2904 - Prior Authorizations or Restrictions

A. All workers' compensation insurers shall waive time restrictions on prescription medication refills, which include suspension of electronic "refill too soon" edits to pharmacies, to enable insureds or subscribers to refill prescriptions in advance, if there are authorized refills remaining.

B. All workers' compensation insurers shall authorize payment to pharmacies for at least a 30-day supply of any prescription medication, regardless of the date upon which the prescription had most recently been filled by a pharmacist, at any time when the state is declared to be under a state of emergency in an executive order issued by the governor and;

1. the prescription is not for a Schedule II medicinal drug;

2. the medication is essential to the maintenance of life or to the continuation of therapy in a chronic condition;

3. in the pharmacist's professional judgment, the interruption of therapy might reasonably produce undesirable health consequences or may cause physical or mental discomfort; or

4. the dispensing pharmacist notifies the prescriber of emergency dispensing within a reasonable time after such dispensing.

C. Pharmacist may refill most medications, one time, with a 30-day supply, even though the pharmacist cannot reach the patient's physician.

La. Admin. Code tit. 40, § I-2904

Promulgated by the Louisiana Workforce Commission, Office of Workers' Compensation, LR 46

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1203.1.