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Work Injuries a Bonanza for Shifty Providers

12/09/2015
drug formulary restricts the use of compound drugs according to a Bureau of Workers Compensation spokeswoman. Of the bureaus 95 million in drug spend last year 440000 was for compounds. Constantly evolving The challenge with provider fraud is that it will continue to evolve as perpetrators

Category: News

Docs Say They're Out of the Loop as OWC Drafts Drug Formulary

10/22/2015
filed SB 256 which argued the state should switch to a closed formulary and that an oversight panel made up of pharmacists and physicians be set up by the Office of Workers' Compensation. Closed formularies which the bill said have reduced workers' compensation medical costs in Ohio Texas and

Category: News

'Devil Is in the Details' for Formularies, Benefit Manager Says

10/13/2015
A strict requirement for preauthorization of compound drugs under Oklahomas prescription drug formulary has resulted in a substantial drop in compound drug use there according to data presented in an online seminar on Monday. But in Texas where a drug formulary has more loopholes for the use

Category: News

System Users Say Formulary Should Focus on Appropriate Care

09/09/2015
should learn from the experience of their counterparts in Texas. The Texas Division of Workers' Compensation implemented a formulary based on recommendations in the Official Disability Guidelines published by the Work Loss Data Institute. The formulary went into effect for new injuries in September

Category: News

Coventry: Compounds, costly Drugs more Prevalent when Filled out of Network

06/24/2015
Dannielle Foroozandeh said the Texas formulary which became effective in 2011 doesnt block compounds as effectively as the formulary that went into effect in Oklahoma last year. In Oklahoma no compound medication has preauthorization. In Texas a compound can be preapproved if each of the individual

Category: News

Advisory Council Votes to Oppose Formulary Bill; Medical Society Plans Committee Sub

04/24/2015
reviews the closed formulary in Texas where statistics have shown that N drug prescriptions and cost share have dropped drastically since the Lone Star State implemented its closed formulary in 2011. Texas uses the Official Disability Guidelines published by the Work Loss Data Institute as the

Category: News

Senator Files Bill for Closed Pharmacy Formulary

04/08/2015
. The formulary would exclude Drugs or medications that the FDA designates or labels as narcotics. Compounded drugs or compound medication. Investigational or experimental drugs for which there is early developing scientific or clinical evidence demonstrating the potential efficacy of the

Category: News

Drug Compounders Push Back with Suit against Express Scripts

12/01/2014
the most concerning emerging trend. Several states have taken action to limit access to compounds or drive down their prices. The Michigan Workers Compensation Agency is considering a rule that would cap the price of compounded drugs to 600 per 30-day supply. Texas closed drug formulary

Category: News

Pharmaceuticals in the News

09/25/2014
may be made by adjusters or by some system like the Texas approved formulary. Under all scenarios we would be likely to see a tendency toward generics. This subject is in the news because the New York Attorney General has filed an antitrust lawsuit against Actavis PLC the company that

Category: Industry Insights

Compounding Regulations Aimed at Safety, Won't Necessarily Cut Costs for Comp

09/15/2014
promote safe use of the drugs. According to the National Conference of State Legislatures 16 states adopted bills regulating compound pharmaceuticals in 2013. Many of the laws such as Marylands House Bill 986 and Texas Senate Bill 1100 grant extra power to regulatory agencies to license compound

Category: News

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