Statutes, codes, and regulations
Pennsylvania Code (Rules and Regulations)
Title 34 - LABOR AND INDUSTRYPart VIII - Bureau of Workers' CompensationChapter 127 - WORKERS' COMPENSATION MEDICAL COST CONTAINMENTSubchapter B - MEDICAL FEES AND FEE REVIEW
CALCULATIONS
Section 127.133 - Payments for prescription drugs and pharmaceuticals-effect of denial of coverage by insurers

34 Pa. Code § 127.133

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Current through Register Vol. 54, No. 45, November 9, 2024
Section 127.133 - Payments for prescription drugs and pharmaceuticals-effect of denial of coverage by insurers

If an injured employe pays more than 110% of the average wholesale price of a prescription drug because the insurer initially does not accept liability for the claim under the act, or denies liability to pay for the prescription, the insurer shall reimburse the injured employe for the actual cost of the prescription drugs, once liability has been admitted or determined.

34 Pa. Code § 127.133