Cal. Code Regs. Tit. 8, § 9792.27.4 - Mtus Drug Formulary - Pharmacy Networks; Pharmacy Benefit Manager Contracts

Where an employer or insurer contracts pursuant to Labor Code section 4600.2 with a pharmacy, a pharmacy benefit manager, or pharmacy network for the provision of drugs for the treatment of injured workers, the drugs available to the injured worker must be consistent with the MTUS Treatment Guidelines and MTUS Drug Formulary for the condition or injury being treated, and may not be restricted pursuant to the contract.

Notes

Cal. Code Regs. Tit. 8, § 9792.27.4

1. New section filed 12-7-2017; operative 1-1-2018 pursuant to Government Code section 11343.4(b)(3) (Register 2017, No. 49).

Note: Authority cited: Sections 133, 4603.5, 5307.3 and 5307.27, Labor Code. Reference: Sections 4600, 4600.2, 4604.5 and 5307.27, Labor Code.

1. New section filed 12-7-2017; operative 1/1/2018 pursuant to Government Code section 11343.4(b)(3) (Register 2017, No. 49).