A. The workers' compensation insurer will not make payment for:
- 1. over-the-counter (OTC) drugs and supplies unless prescribed by the treating physician of record. All over-the-counter and Schedule V preparations must be prescribed by a medical practitioner licensed to write prescriptions. Approved OTC drugs are reimbursed the same as legend drugs;
- 2. drugs or disposable needles and syringes dispensed while a patient in a hospital, nursing home, or other institution;
- 3. experimental or investigative drugs which have not been approved by FDA;
- 4. vitamins, vitamin injections, or vitamin therapy of any kind;
- 5. diet pills or drugs for the purpose of weight reduction unless the treating physician can provide prior justification;
- 6. charges for any prescription, or item of merchandise or service, not related to the qualifying illness or injury;
- 7. pharmacy charges incurred in conjunction with non-work related conditions; or
- 8. items or services which are furnished gratuitously without regard to the individual's ability to pay, and without expectation of payment from any source.
Authority Note
AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.
Historical Note
HISTORICAL NOTE: Promulgated by the Department of Labor, Office of Workers' Compensation, LR 19:54 (January 1993), repromulgated LR 19:212 (February 1993), amended LR 20:1299 (November 1994).