# 20 CFR § 10.809: How are payments for medicinal drugs determined?

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/ecfr-20-10.809

## Section

- **Citation:** 20 CFR § 10.809
- **Heading:** How are payments for medicinal drugs determined?
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** September 22, 2026
- **Source:** Publisher's official text
- **Location:** Title 20—Employees' Benefits > CHAPTER I—OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR > SUBCHAPTER B—FEDERAL EMPLOYEES' COMPENSATION ACT > PART 10—CLAIMS FOR COMPENSATION UNDER THE FEDERAL EMPLOYEES' COMPENSATION ACT, AS AMENDED > Subpart I—Information for Medical Providers > Medical Fee Schedule

## Text

Payment for medicinal drugs prescribed by physicians shall not exceed the amount derived by multiplying the average wholesale price, or as otherwise specified by OWCP, of the medication by the quantity or amount provided, plus a dispensing fee. OWCP may, in its discretion, contract for or require the use of specific providers for certain medications.
(a) All prescription medications identified by National Drug Code (NDC) will be assigned an average wholesale price representing the product's nationally recognized wholesale price as determined by surveys of manufacturers and wholesalers, or by other method designated by OWCP. The Director will establish the dispensing fee, which will not be affected by the location or type of provider dispensing the medication.
(b) The NDCs, the average wholesale prices, and the dispensing fee shall be reviewed from time to time and updated as necessary.
(c) With respect to prescribed medications, OWCP may require the use of generic equivalents where they are available.

## Nearby sections

- [20 CFR § 10.800 § 10.800 How do providers enroll with OWCP for authorizations and billing?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.800.md)
- [20 CFR § 10.801 § 10.801 How are medical bills to be submitted?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.801.md)
- [20 CFR § 10.802 § 10.802 How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.802.md)
- [20 CFR § 10.803 § 10.803 What are the time limitations on OWCP's payment of bills?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.803.md)
- [20 CFR § 10.805 § 10.805 What services are covered by the OWCP fee schedule?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.805.md)
- [20 CFR § 10.806 § 10.806 How are the maximum fees defined?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.806.md)
- [20 CFR § 10.807 § 10.807 How are payments for particular services calculated?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.807.md)
- [20 CFR § 10.808 § 10.808 Does the fee schedule apply to every kind of procedure?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.808.md)
- [20 CFR § 10.809 § 10.809 How are payments for medicinal drugs determined?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.809.md)
- [20 CFR § 10.810 § 10.810 How are payments for inpatient medical services determined?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.810.md)
- [20 CFR § 10.811 § 10.811 When and how are fees reduced?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.811.md)
- [20 CFR § 10.812 § 10.812 If OWCP reduces a fee, may a provider request reconsideration of the reduction?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.812.md)
- [20 CFR § 10.813 § 10.813 If OWCP reduces a fee, may a provider bill the claimant for the balance?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.813.md)
- [20 CFR § 10.815 § 10.815 What are the grounds for excluding a provider from payment under the FECA?](https://www.frixlaw.com/law-library/statutes/ecfr-20-10.815.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/ecfr-20-10.809. Check the current official text before relying on it. Not legal advice.