The Florida Division of Workers’ Compensation (DWC) is proposing rule changes to remove reimbursement and billing provisions for physician-dispensed medications, following a February 2026 court ruling that injured workers’ right to choose a pharmacy does not include physician dispensing.

The notice of rule development applies to the DWC’s medical billing and bill review rules and would remove related provisions addressing reimbursement, special billing, and payment disallowance for physician-dispensed medications.

This action follows the First District Court of Appeal’s February 2026 decision in Publix Super Markets, Inc. v. Department of Financial Services, which clarified that injured workers’ statutory right to choose a “pharmacy or pharmacist” does not extend to physician dispensers. As a result, the DWC is proposing to remove related billing requirements, including language addressing insurer disallowance of payment for medications dispensed without prior authorization.

A public hearing has been scheduled for July 15, 2026, and the proposed language change has also been posted for review. Interested stakeholders may attend in person or virtually. A rule development workshop will be scheduled only if requested in writing and deemed necessary by the DWC. The notice directs interested parties to contact Charlene Miller, Bureau Chief, Division of Workers’ Compensation with questions.

By aligning billing rules with the court’s decision, the DWC is providing regulatory confirmation of practices many payers have already implemented or still considering, which would reduce ambiguity in how physician-dispensed medications are handled.