Magnifying Glass
Back to Workers' Compensation Daily Headlines

Do You Know the Rule? Ohio Reimbursement for First Fill of Outpatient Medications

09 Sep, 2022 Frank Ferreri

                               

Columbus, OH (WorkersCompensation.com) -- Recently, Ohio updated its rule governing the first fill of outpaient medications. Part of that rule covers limitations on the reimbursement of outpatient medication. 

So what curbs does the Buckeye State have on medication reimbursements? Here's a breakdown:

Quantity

  • Approval for reimbursement of medications under the first fill program is limited to quantity limits that depend on the medication at issue.
  • No refills will be approved.

Drug Classes

  • Except for antivirals, antiretrovirals, and antibiotics, approval for reimbursement of medications under the first fill program are limited to one drug per therapeutic drug class.

Compounded Perscriptions

  • Extemporaneous compounded prescribtions are not eligible for remimbursement under the first fill program.

Forms, email updates, legal, regulatory, and compliance information from Ohio and 52 other jurisdictions across the U.S. can be found on WorkCompResearch.com.

  • AI california case law case management case management focus claims compensability compliance courts covid do you know the rule exclusive remedy florida FMLA glossary check health care Healthcare hr homeroom insurance iowa leadership leadership link medical NCCI new jersey new york ohio osha pennsylvania roadmap Safety state info technology texas violence WDYT west virginia what do you think women's history women's history month workcompcollege workers' comp 101 workers' recovery Workplace Safety Workplace Violence

    • Read Also

    Los Angeles Tops Country for Dogs Biting Postal Carriers

    Safety at Work Los Angeles, CA (WorkersCompensation.com) – Los Angeles, Houston, Chicago, St. Louis and Cincinnati were ranked as the top five cities for dog bites by the U.S. Postal Service in 2024. USPS kicked […]
    The Drug Intoxication Defense to Workers’ Compensation Compensability in Mississippi

    Do You Know the Rule? Mississippi employers can defend themselves against an employee's workers' compensation claim where the employee was injured in part because of the illegal use of drugs. But they’ll have to prove […]
    How Do Texas Telemedicine, Telehealth, Teledentistry Billing Work?

    Compliance Corner It seems like just yesterday that the proliferation of telemedicine services in health care was new and novel. Now, it's an established part of workers' compensation process across the country, including Texas. If […]

    About The Author

    • Frank Ferreri

      Frank Ferreri, M.A., J.D. covers workers' compensation legal issues. He has published books, articles, and other material on multiple areas of employment, insurance, and disability law. Frank received his master's degree from the University of South Florida and juris doctor from the University of Florida Levin College of Law. Frank encourages everyone to consider helping out the Kind Souls Foundation and Kids' Chance of America.

    More by This Author

    Los Angeles Tops Country for Dogs Biting Postal Carriers

    Safety at Work Los Angeles, CA (WorkersCompensation.com) – Los Angeles, Houston, Chicago, St. Louis and Cincinnati were ranked as the top five cities for dog bites by the U.S. Postal Service in 2024. USPS kicked […]
    How Do Texas Telemedicine, Telehealth, Teledentistry Billing Work?

    Compliance Corner It seems like just yesterday that the proliferation of telemedicine services in health care was new and novel. Now, it's an established part of workers' compensation process across the country, including Texas. If […]
    Date of Injury Questions Send Yankee’s Case Back to the Plate before WCJ

    Case File A retired second sacker for the Yankees learned that he might be able to file a workers' compensation claim long after his playing days hand ended, but did his case have to go […]

    Read More

    Los Angeles Tops Country for Dogs Biting Postal Carriers

    Safety at Work Los Angeles, CA (WorkersCompensation.com) – Los Angeles, Houston, Chicago, St. Louis and Cincinnati were ranked as the top five cities for dog bites by the U.S. Postal Service in 2024. USPS kicked […]
    The Drug Intoxication Defense to Workers’ Compensation Compensability in Mississippi

    Do You Know the Rule? Mississippi employers can defend themselves against an employee's workers' compensation claim where the employee was injured in part because of the illegal use of drugs. But they’ll have to prove […]
    How Do Texas Telemedicine, Telehealth, Teledentistry Billing Work?

    Compliance Corner It seems like just yesterday that the proliferation of telemedicine services in health care was new and novel. Now, it's an established part of workers' compensation process across the country, including Texas. If […]
    Stats on Risk of COVID from Work don’t Automatically Shut Down W.Va. Nurse’s Claim

    Is statistical evidence that a worker was just as likely to contract COVID-19 outside of work than at work enough, by itself, to defeat a workers’ compensation claim? The state’s High Court recently addressed that […]
    Date of Injury Questions Send Yankee’s Case Back to the Plate before WCJ

    Case File A retired second sacker for the Yankees learned that he might be able to file a workers' compensation claim long after his playing days hand ended, but did his case have to go […]
    Redetermining Benefits Based on ‘Extreme Hardship’ in N.Y.

    Do You Know the Rule? In New York, a claimant receiving permanent partial disability benefits may seek reclassification based on an extreme hardship. If the request is granted, the claimant may be classified as having […]