§ 9792.27.2. MTUS Drug Formulary; MTUS Drug List; Scope of Coverage; Effective Date.
8 CA ADC § 9792.27.2Barclays Official California Code of Regulations
8 CCR § 9792.27.2
§ 9792.27.2. MTUS Drug Formulary; MTUS Drug List; Scope of Coverage; Effective Date.
(a) Drugs prescribed or dispensed to treat a work related injury or illness fall within Labor Code section 4600 's definition of “medical treatment” and are subject to the relevant provisions of the MTUS, including the MTUS Treatment Guidelines, provisions relating to the presumption of correctness, and the methods for rebutting the presumption and for substantiating medical necessity where the MTUS Treatment Guidelines do not address the condition or injury.
(1) A drug is for “outpatient use” if it is dispensed to be taken, applied, or self-administered by the patient at home or outside of a clinical setting, including “take home” drugs dispensed at the time of discharge from a facility. “Home” includes an institutional setting in which the injured worker resides, including but not limited to, an assisted living facility.
Credits
Note: Authority cited: Sections 133, 4603.5, 5307.3 and 5307.27, Labor Code. Reference: Sections 4600, 4604.5 and 5307.27, Labor Code.
History
1. New section filed 12-7-2017; operative 1-1-2018 pursuant to Government Code section 11343.4(b)(3) (Register 2017, No. 49).
This database is current through 6/21/24 Register 2024, No. 25.
Cal. Admin. Code tit. 8, § 9792.27.2, 8 CA ADC § 9792.27.2
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