Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

• No statutes or acts will be found at this website.

The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 8238 (December 30, 2023).

55 Pa. Code § 1141.60. Payment for medications dispensed or ordered in the course of an office visit.

§ 1141.60. Payment for medications dispensed or ordered in the course of an office visit.

 Physicians may be reimbursed for the actual cost of medications administered or dispensed to an eligible recipient in the course of an office or home visit providing the physician is certified for dispensing by the Office of Medical Assistance, Bureau of Provider Relations. There is no reimbursement 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.

   Exception: 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.

Source

   The provisions of this §  1141.60 adopted August 15, 1980, effective September 1, 1980, 10 Pa.B. 3386.



No part of the information on this site may be reproduced for profit or sold for profit.


This material has been drawn directly from the official Pennsylvania Code full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.