Sec. 413.0141. INITIAL PHARMACEUTICAL COVERAGE. The commissioner may by rule provide that an insurance carrier shall provide for payment of specified pharmaceutical services sufficient for the first seven days following the date of injury if the health care provider requests and receives verification of insurance coverage and a verbal confirmation of an injury from the employer or from the insurance carrier as provided by Section 413.014. The rules adopted by the commissioner shall provide that an insurance carrier is eligible for reimbursement for pharmaceutical services paid under this section from the subsequent injury fund in the event the injury is determined not to be compensable.
Added by Acts 2001, 77th Leg., ch. 1456, Sec. 4.03, eff. June 17, 2001.
Amended by:
Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 3.237, eff. September 1, 2005.
Structure Texas Statutes
Title 5 - Workers' Compensation
Subtitle A - Texas Workers' Compensation Act
Subchapter B. Medical Services and Fees
Section 413.011. Reimbursement Policies and Guidelines; Treatment Guidelines and Protocols
Section 413.0111. Processing Agents
Section 413.0112. Reimbursement of Federal Military Treatment Facility
Section 413.0115. Requirements for Certain Voluntary or Informal Networks
Section 413.012. Medical Policy and Guideline Updates Required
Section 413.014. Preauthorization Requirements; Concurrent Review and Certification of Health Care
Section 413.0141. Initial Pharmaceutical Coverage
Section 413.015. Payment by Insurance Carriers; Audit and Review
Section 413.016. Payments in Violation of Medical Policies and Fee Guidelines
Section 413.017. Presumption of Reasonableness
Section 413.018. Review of Medical Care if Guidelines Exceeded
Section 413.019. Interest Earned for Delayed Payment, Refund, or Overpayment
Section 413.020. Division Charges
Section 413.021. Return-to-Work Coordination Services
Section 413.022. Return-to-Work Reimbursement Program for Employers; Fund
Section 413.023. Information to Employers