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OhioBWC - Provider - Service:  Rules

Workers' compensation medication rules

Ohio Administrative Code (OAC)
Health Partnership Program pharmacy rules – Payment for medication (4123-6-21)

The OAC 4123-6-21 contains rules for the outpatient medication program and applies to BWC state-fund, black lung and Marine Industrial Fund claims. Once you link to Anderson’s Ohio Online Docs, click:

  • Ohio Administrative Code;
  • 4123 Bureau of Workers' Compensation;
  • Chapter 4123-6, Health Partnership Program;
  • 4123-6-21 Payment for medication.

Self-Insured Employer Pharmacy Rules - Payment for medication (4123-7-23)
The OAC 4123-7-23 contains rules used by self-insuring employers for their medication program for self-insured claims. Once you link to Anderson’s Ohio Online Docs, click:

  • Ohio Administrative Code;
  • 4123 Bureau of Workers' Compensation;
  • Chapter 4123-7 Payments to Health Care Providers;
  • 4123-7-23 Payment for medication.

Note: Since the Ohio Administrative Code is housed on an external Web site, there may be some lag times in updates after rules are amended. If you are questioning if you have the most current version of the rules, call 1-800-OHIOBWC, and follow the prompts to speak with a provider representative.



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