Division Rule on Florida Compound Drugs

New section in 2016 Health Care Provider Reimbursement Manual, effective July 1, 2017, defines the dispensing of compound drugs as a specialty service.

Carriers, health care providers, and pharmacists should take note of a new section on page 37 of the 2016 Edition of the Health Care Provider Reimbursement Manual, effective July 1, 2017.  This new section defines the dispensing of compound drugs as a specialty service within the meaning of paragraph 440.13(3)(i), F.S.  Paragraph 440.13(3)(i), F.S. states in part, "Notwithstanding (d), a claim for specialist consultations, surgical operations, physiotherapeutic or occupational therapy procedures, X-ray examinations, or special diagnostic laboratory tests that cost more than $1,000 and other specialty services that the department identifies by rule is not valid and reimbursable unless the services have been expressly authorized by the carrier, unless the carrier has failed to respond within 10 days to a written request for authorization, or unless emergency care is required."

To learn more about these issues and other Workers' Compensation information click here: http://www.myfloridacfo.com/Division/WC/

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