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PA SB1215
Bill
Status
3/13/2026
Primary Sponsor
Devlin Robinson
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AI Summary
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Amends Pennsylvania's Workers' Compensation Act to establish reimbursement limits for compound drugs at $400 per 30-day supply, with a $20 compounding fee per prescription, calculated on a per-ingredient basis requiring valid NDC numbers.
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Prohibits reimbursement for compound drugs that are essentially duplicates of commercially available drug products, as determined under federal outsourcing facility standards (21 U.S.C. § 353b).
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Caps reimbursement for noncompound topical drugs at the lesser of 110% of AWP, the Federal Upper Limit, or $240 per 30-day supply, plus a $10 dispensing fee per prescription.
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Defines "compound drug" as non-FDA-approved preparations custom-made by pharmacists or physicians for individual patients, including dermatological agents like creams, gels, ointments, and transdermal patches.
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Takes effect 60 days after enactment.
Legislative Description
In liability and compensation, further providing for schedule of compensation.
Last Action
Referred to Labor & Industry
3/13/2026