N.Y. Workers' Compensation Law Section 13-O
Pharmaceutical fee schedule


The chair shall adopt a pharmaceutical fee schedule which shall establish maximum allowable fees for prescription medicines provided pursuant to this chapter. The schedule shall include a single dispensing fee. Nothing in the fee schedule shall preclude mail order supply of scheduled medicines, provided that the fees for such mail ordered medicines do not exceed the costs provided by such fee schedule. Any pharmacy providing prescription medicines shall provide the generic drug equivalent, if a generic equivalent is available, unless the prescribing physician specifically provides otherwise by prescription. The fee schedule may be modified on each succeeding April first, provided, however, that usual and customary fees may be charged for drugs that are not included in a then-current fee schedule, but are approved for use by the chair.

Source: Section 13-O — Pharmaceutical fee schedule, https://www.­nysenate.­gov/legislation/laws/WKC/13-O (updated Sep. 22, 2014; accessed Mar. 23, 2024).

9
Definitions
10
Liability for compensation
11
Alternative remedy
12
Compensation not allowed for first seven days
13
Treatment and care of injured employees
13–A
Selection of authorized physician by employee
13–AA
Medical appeals unit
13–B
Authorization of providers, medical bureaus and laboratories by the chair
13–C
Licensing of compensation medical bureaus and laboratories
13–D
Removal of providers from lists of those authorized to render medical care or to conduct independent medical examinations
13–E
Revocation of licenses of compensation medical bureaus and laboratories
13–F
Payment of medical fees
13–G
Payment of bills for medical care
13–H
Ombudsman for injured workers
13–I
Solicitation prohibited
13–J
Medical or surgical treatment by insurance carriers and employers
13–K
Care and treatment of injured employees by duly licensed podiatrists
13–L
Care and treatment of injured employees by duly licensed chiropractors
13–M
Care and treatment of injured employees by duly licensed psychologists
13–N
Mandatory registration of entities which derive income from independent medical examinations
13–O
Pharmaceutical fee schedule
13–P
Comprehensive prescription drug formulary
14
Weekly wages basis of compensation
14–A
Double compensation and death benefits when minors illegally employed
15
Schedule in case of disability
15–A
Assessment on insolvent group self-insured trusts
16
Death benefits
16–A
Death benefits due to diesel exposure
17
Noncitizens
17–A
Limited English proficiency
18
Notice of injury or death
18–A
Notice: The New York Jockey Injury Compensation Fund, Inc
18–B
Notice
18–C
Independent livery bases
19
Physical examination
19–A
Physicians not to accept fees from carriers
19–B
Treatment by physicians in employ of board
19–C
Actions against health services personnel
20
Determination of claims for compensation
21
Presumptions
21–A
Temporary payment of compensation
22
Modification of awards, decisions or orders
23
Appeals
23–A
Mistakes, defects and irregularities
24
Costs and fees
24–A
Representation before the workers’ compensation board
25
Compensation, how payable
25–A
Procedure and payment of compensation in certain claims
25–B
Awards to non-residents: Non-resident compensation fund
26
Enforcement of payment in default
26–A
Procedure and payment of compensation in claims against uninsured defaulting employers
27
Depositing future payments in the aggregate trust fund
27–A
Investments in obligations of designated public benefit corporations
27–B
Amortization of gains or losses
27–C
Appropriations to the aggregate trust fund
28
Limitation of right to compensation
29
Remedies of employees
30
Revenues or benefits from other sources not to affect compensation
31
Agreement for contribution by employee void
32
Waiver agreements
32–A
Waivers of specific coverage prohibited
33
Assignments
34
Preferences
35
Safety net

Accessed:
Mar. 23, 2024

Last modified:
Sep. 22, 2014

§ 13-O’s source at nysenate​.gov

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