- (a) Payment is made to physicians for covered brand name and generic drugs as determined by § 1121.56a(k) (relating to drug cost determination), multiplied by the number of units administered or dispensed to an eligible recipient in the course of an office or home visit. Payment for these services is subject to the conditions and limitations in Chapter 1121 (relating to pharmaceutical services). There is no payment made to a physician for medical supplies or equipment dispensed in the course of an office or home visit. Payment for medical supplies and equipment is made only to pharmacies and medical suppliers participating in the Medical Assistance program.
- (b) Physicians may bill the Department for Rho(d) Immune Globulin, intrauterine devices, eyeglasses and for immunizing biologicals and antigens and drugs not provided by the Department of Health.
Authority
The provisions of this § 1141.60 amended under sections 201(2) and 403.1(a)(4) of the Human Services Code (62 P.S. § § 201(2) and 403.1(a)(4)).
Source
The provisions of this § 1141.60 adopted August 15, 1980, effective September 1, 1980, 10 Pa.B. 3386; amended January 2, 2026, effective January 3, 2026, 56 Pa.B. 16. Immediately preceding text appears at serial page (322406).