drug formulary News

Report on California’s Formulary Shows Pharmaceutical Costs Declining

The Workers’ Compensation Insurance Rating Bureau of California has updated the cost impact evaluation of the Medical Treatment Utilization Schedule Drug Formulary, utilizing additional pharmaceutical transaction information in 2019 through the pre-pandemic period in 2020. The findings are detailed in …

California Workers’ Comp Committee Votes to Lower Mid-Year Filing

The California Workers’ Compensation Insurance Rating Bureau’s governing committee has voted to authorize the WCIRB to submit a lower mid-year pure premium rate filing to the California Department of Insurance based in part on reduced lien filings and a new …

California Workers’ Comp Division to Adopt a Drug Formulary, Host Webinars

The California Division of Workers’ Compensation will adopt an evidence-based drug formulary for medical providers treating injured workers beginning Jan. 1, 2018, following approval by the Office of Administrative Law. The DWC will host two informational webinars for interested parties …

California Workers’ Comp Drug Formulary Would Reduce Costs, Study Shows

Roughly one-in-three prescription drugs currently dispensed to injured workers in California will be no longer require authorization prior to dispensing under the state’s proposed workers’ compensation prescription drug formulary, according to a new study. The new formulary creates more efficiency …

Louisiana Bill to Limit Opioids for Injured Workers Passes Committee

Hoping to prevent fatal overdoses, a House committee passed a bill to make it harder for injured Louisiana workers to access highly-addictive opioid drugs. Lawmakers voted 8-5 on May 11 to have prescribers consult a widely-used formulary before writing a …

California DWC Posts Interim Report on Workers’ Comp Drug Formulary

California’s Division of Workers’ Compensation has posted the second interim status report on its efforts to promulgate regulations for an evidence-based workers’ compensation drug formulary. The regulations were as required by a law passed last year, Assembly Bill 1124. The …

Employers Struggle to Manage Benefits Covering Specialty Drugs

Twenty-seven percent of employers are offering their employees a high deductible plan with co-insurance as part of their specialty drug benefit, and although this strategy helps to lower insurance premiums, it can also result in members not being able to …

New Ohio Workers’ Comp Opioid Prescription Rule now in Effect

A new rule governing the prescribing of opioids to treat Ohioans injured on the job took effect on Oct. 1, the Ohio Bureau of Workers’ Compensation (BWC) reported. The changes target the prevention of opioid dependence by encouraging appropriate prescribing …

Analysis: North Carolina Studying Drug Formularies in Workers’ Comp Claims

During the 2015 legislative session, the North Carolina General Assembly authorized and funded a study regarding prescription drug formularies in workers’ compensation claims brought by state employees. While this statute does not create a formulary, it certainly shows that the …

Prescription Benefit Managers Excluding More High-Priced Drugs

Steve Miller is waging war on high- priced medicine, guiding decisions to ban drugs from the health plans of millions of Americans and sending companies reeling in a $270 billion market. He and his colleagues at Express Scripts Holding Co. …