Plain Text Law

Regulation .05 Limitations.

Regulation .05 Limitations.Copy Citation

The following are not covered:
A.
Pharmacist administered drugs obtained from manufacturers who do not participate in the federal Drug Rebate Program;
B.
Medical supplies usually included in an office visit;
C.
Services not medically necessary;
D.
Investigational and experimental drugs and procedures;
E.
Procedures solely for cosmetic purposes; and
F.
Services denied by Medicare as not medically justified.