54.14. Expenses incurred for the purchase of medical supplies or a medical appliance qualify for reimbursement when the following conditions are met:(1) they are incurred for a medical reason resulting from the accident and are prescribed by a physician or a specialized nurse practitioner;
(2) in cases where costs exceed $500, including delivery and labour charges, 2 tenders were made by 2 suppliers of medical supplies or appliances who are not related, unless there is only one supplier of the medical supplies or of the medical appliance prescribed by the physician or the specialized nurse practitioner on the form provided by the Société containing the following:(a) the victim’s name;
(b) the name of the supplier and the supplier’s tender specifying the cost and guarantee;
(3) where applicable, the victim was authorized by the Société to purchase the medical supplies or the medical appliance at a cost fixed by the latter from either of the tenderers;
(4) the victim submitted an invoice to the Société for the purchase of medical supplies or a medical appliance. The invoice shall contain the following:(a) a description of the medical supplies or medical appliance purchased, including the manufacturer’s code number, where applicable, and a detailed cost;
(b) delivery and labour charges;
(c) the guarantee offered;
(d) the victim’s or the mandatary’s signature; and
(5) the victim provided proof, at his own expense, that the cost of purchasing the medical supplies or the medical appliance does not exceed the rental cost.