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Doctor Removed From Comp System Over Compounds

12/11/2017
A Fort Worth doctor has agreed to not treat examine or consult with other physicians regarding injured workers by signing a consent order demanded by the Texas Division of Workers' Compensation for his alleged unnecessary prescribing of compound medications. Dr. Clinton C. Battle will be

Category: News

Formulary Rules Approved for Jan. 1 Implementation

12/11/2017
the foundation for the recommendations in the formulary. Drugs that are identified as non-exempt and those that are not listed in the formulary will continue to require prior approval to determine whether they are appropriate. Compound drugs even if comprising entirely ingredients that are

Category: News

Formal Rules on Compounds and Telemedicine Going Forward Next Month

11/30/2017
next year the agency says. The explosion of compound drugs was triggered by a loophole in the closed formulary created in 2011 to control pharmacy spending. Some prescribers of compounds have skirted preauthorization requirements by using as ingredients only Y for yes drugs in the Official

Category: News

DWC Disciplines Compound Prescribers; Rules in the Pipeline

11/10/2017
compounds. In 2010 before the state adopted the ODG drug formulary 18020 prescriptions for compound drugs were made in the Texas system costing 6 million or 4 of total pharmacy costs according to a report released by Campbells shop in May. In 2014 26380 prescriptions for compounds were

Category: News

Office of Injured Employee Counsel Opposes Crackdown on Compounds

10/13/2017
explain his rationale behind the compound drug so payment will become seamless. She was joined in her support of the proposal by the American Insurance Association Insurance Council of Texas Property Casualty Insurers Association of America Texas Association of Business Helios Optum Prium

Category: News

DWC Plans to Require Preauthorization for All Compounds

10/05/2017
Texas plans to join Florida Tennessee Nevada and Oklahoma in mandating preauthorization for all compounded medications including those containing Y ingredients through its formulary. California also will require prior approval when its formulary is implemented Jan. 1. After learning of

Category: News

Coventry Report Shows Progress on Curtailing Compounds

08/23/2017
whether or not a compound is medically necessary and only allowing those prescriptions that appear to provide medical benefit Dannielle Foroozandeh Coventrys pharmacy product director said in an email. In addition states have either been considering or now have a formulary that is driven in

Category: News

New Rule Requires Preauthorization of All Compounds, Regardless of Price

07/18/2017
a formulary since Sept. 1 2013 is proposing to amend its rules to require preauthorization of all compounds. Texas did not do that Day 1 and unintentionally created a compounding issue Pew said referring to the exploding number of compound prescriptions and escalating costs in the Lone Star

Category: News

Insurers Say Preauthorization for All Compounds Would Reduce Friction

07/10/2017
under the current rules preauthorization is required if a compound contains any N status drug but that its difficult to verify an N drug status for powder-form ingredients. The council cited Section 408.028 of the Labor Code which requires the agency to adopt a formulary that is evidence

Category: News

Insurers Welcome Preauthorization for All Compounds, Citing Lack of Efficacy

06/20/2017
compounded medications to undergo scrutiny even if they consist of nothing but preferred or Y drug ingredients on the state's drug formulary. Insurers hailed the proposed move while a major Texas pharmacy defended compounds as medically appropriate for some patients. The Division of Workers

Category: News

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