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New York · Through 2026-09-11

N.Y. Workers' Compensation Law § 13-o: Pharmaceutical fee schedule

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Where this section sits in the code
  1. Workers' Compensation Law
  2. Article 2. Compensation

§ 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.

Collected 2026-09-14T19:32:45Z. Source file · JSON

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