What are the HB 7 requirements regarding pharmacy fee guidelines and reimbursement?
A. HB 7 requires the Commissioner of Workers’ Compensation by rule to adopt a fee schedule for pharmacy and pharmaceutical services that will provide reimbursement rates that are fair and reasonable, assure adequate access to medications and services for injured workers, and minimize costs to employees and insurance carriers. Insurance carriers must reimburse for pharmacy benefits and services using the fee schedule adopted by the Commissioner of Workers’ Compensation or at rates negotiated by contract.
