Cal. Code Regs. Tit. 8, § 9792.27.8 - Physician-Dispensed Drugs
(a)
Drugs dispensed by a physician must be authorized through prospective review
prior to being dispensed, except as provided in subdivision (b), section
9792.27.12 ("Special Fill"), and
section 9792.27.13 ("Perioperative
Fill").
(b) A physician may
dispense up to a seven-day supply of one or more drugs that are designated as
"Exempt" in the MTUS Drug List without obtaining authorization through
prospective review, if the drug treatment is in accordance with the MTUS
Treatment Guidelines and the up-to-seven-day supply is dispensed at the time of
an initial visit that occurs within 7 days of the date of injury.
(c) Nothing in this Article shall invalidate
a provision in a Medical Provider Network agreement which restricts physician
dispensing by medical providers within the network.
(d) Nothing in this Article shall permit
physician dispensing where otherwise prohibited by a pharmacy benefit contract
pursuant to subdivision (a) of Labor Code section
4600.2.
Notes
Note: Authority cited: Sections 133, 4603.5, 5307.3 and 5307.27, Labor Code. Reference: Sections 4600, 4604.5 and 5307.27, Labor Code.
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