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April 14, 2025

Ohio Withdraws Outpatient Medication Reimbursement Rules

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On April 7th, the Ohio Bureau of Workers' Compensation (BWC) withdrew proposed amendments to outpatient medication reimbursement rules for state-fund claims, 4123-6-21 and self-insuring employers, 4123-6-21.1.

Originally filed in October 2024, the amendments aimed to adjust AWP discount rates and standardize dispensing fees, with annual reviews by BWC.

Despite the rules accommodating state-fund claims, stakeholder concerns about implementation for self-insured claims led to suspension of the rules in December and the eventual withdrawal. Any future changes will require BWC to restart the rulemaking process.

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