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UNOFFICIAL 1737-89 (ii) Solely cosmetic purposes such as obscuring an opaque pupil; (5) Subnormal visual aids; and (6) Replacement of glasses or contact lenses limited to one pair or unit in a twenty-four month period.
(c)Approval shall be required to obtain contact lenses,…#
(c) Approval shall be required to obtain contact lenses, subnormal visual aids costing more than $50, and to replace glasses or contact lenses within two years, and shall include one or more of the following (1) The date and circumstances of loss; (2) The date the previous glasses were made; (3) The visual acuity without and with correction; or (4) The refractive prescription and the previous prescription, if a change is being requested.
(d)Bifocal lenses do not require authorization but claims…#
(d) Bifocal lenses do not require authorization but claims for these lenses for persons under forty years of age shall include adequate medical justification.