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SWCB Proposing Major Role for PBMs, Compound Crackdown in Formulary Plan

10/10/2016
but hopes to have it up and running as soon as possible agency spokesman Brian Keegan said. New York would be the 10th state to adopt a formulary the Workers Compensation Research Institute says. Texas instituted a drug formulary in 2011 and California is now going through the rule-making

Category: News

Proposed Rules Take Aim at Opioids, Compounded Drugs

10/03/2016
ingredients in a topical compound to three or fewer and say that the ingredients in a compound cant come from the same class of drugs. The restrictions on opioids and compounded medications are included in proposed changes to the BWCs workers compensation drug formulary and regulations of payment for

Category: News

CCWC Conference: Medical Executives Consider Impact of WC Drug Formulary

07/18/2016
problematic medications dispensed such as compound creams and opioids. While the formulary is best envisioned as more of a tool in a toolbox than a panacea "it has the potential to limit friction and frictional costs by providing guidance to physicians about what's covered" said Rupali Das the

Category: News

Insurers and Their Attorneys Praise Denial of Reimbursement for Compounded Drugs

06/16/2016
Insurers and defense attorneys are hailing a recent decision by the Texas State Office of Administrative Hearings to deny reimbursement for compounded medications typically creams used to treat pain or heal scars. Administrative Law Judge Gary Elkins on June 2 reversed a Division of Workers

Category: News

NCCI: Average Prescription Drug Costs Increase 6%

05/11/2016
the one used in Texas. Shattuck said it could be a tough fight to bring a formulary to Illinois but the chamber is pushing one measure that was introduced Tuesday to address growing concerns with compound drugs being dispensed by doctors. Thats where weve seen the most growth and abuse

Category: News

DWC Moves Forward With Audit of Compound Prescribing

05/03/2016
The Texas Division of Workers Compensation has finalized how it will conduct an audit of physicians who prescribe compound medications. The final audit procedure comes after DWC gathered input on the process from participants in the workers comp system in late March according to an April 29

Category: News

Audits Eyed for Doctors' Drug Compound Writing Practices

03/29/2016
since 2011 has had a drug formulary that has been hailed by some as a model for other states Texas formulary does not exclude compounds. As a result many compounds can be prescribed without preauthorization said Trey Gillespie assistant vice president for workers compensation for the Property

Category: News

Formulary Leads to NCCI Recommendation for 2.7% Loss Cost Reduction

02/29/2016
clear-cut. NCCI used data from Texas' experience after adopting the ODG formulary in 2011 to project the impact on Tennessee claim costs. In Texas the cost of so-called "N-drugs" which are not recommended in the formulary was 75 lower in 2014 than in 2010. That translates to an 18 reduction in

Category: News

Bureau Publishes Final Draft of Drug Formulary and Treatment Guidelines

12/16/2015
Tennessee will have a drug formulary and medical treatment guidelines in place by the end of February if all goes smoothly and the new rules are approved by a legislative committee. The state's Bureau of Workers' Compensation published the final draft of its new regulations in Monday's

Category: News

New Formulary Should Save Payers Big Bucks

12/15/2015
important States like Texas Washington and Ohio have adopted formularies and helped payers save big bucks. The California Workers’ Compensation Institute CWCI estimate a formulary could save California payers 102 million to 420 million a year in pharmacy payments. The Workers&rsquo

Category: Industry Insights

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