Allows workers' compensation claimants to use pharmacies outside of contracted networks under certain conditions.
This bill amends the workers' compensation law to allow claimants to obtain prescribed medications from pharmacies outside of contracted networks if specific conditions are met. These conditions include situations where the employer or carrier has refused to provide payment, failed to authorize medication within 72 hours, or denied reauthorization. Pharmacies dispensing such medications must adhere to the New York state workers' compensation pharmacy fee schedule and medical treatment guidelines. The employer or carrier must pay the pharmacy for the medication if approved.
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