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Advisory 2002-06B

Implementation of Pharmacy Rules

The Texas Workers' Compensation Commission (Commission) provides additional clarification for the implementation of adopted new rules 134.500, 134.502-134.504, and 134.506 that apply to all prescriptions prescribed or filled on or after March 1, 2002.

Advisory 2002-06 included notice of the revised Form TWCC-66a and required the use of the revised form for all pharmacy bills submitted on or after April 1, 2002. The Commission has since been advised that workers' compensation system participants may need additional time for acquiring software and/or computer programming to implement use of the March 2002 revision of the TWCC-66a.

Additionally, the Commission has received comments regarding the March 2002 revision of the TWCC-66a. In light of the comments received, the Commission has elected to release an interim TWCC-66a to be reviewed by participants. This summer the Commission intends to propose rules regarding coverage of prescriptions during the first seven days following the date of injury, in accordance with the provisions of Section 413.0141 of the Texas Workers' Compensation Act. The interim form includes an affirmation that would be required only after the date such rules are in effect (anticipated to be Fall 2002). Comments regarding the interim form will be accepted until close of business on April 30, 2002. After the comment period closes, the Commission will finalize the interim form based on comments received and release the form for required use (excluding the first seven day provision).

In light of the time needed for review and revision of the TWCC-66a, Texas workers' compensation system participants may, until further notice, use either the May 1996 TWCC-66a, the March 2002 revision of the TWCC-66a, or the interim TWCC-66a.

Signed this 19th day of April, 2002

Richard F. Reynolds, Executive Director

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