March 20, 2018

WorkCompRecap: Formulary Forecasting!

Today’s issue of WorkCompRecap features the release of a new CWCI study used data from 1.2 million drug prescriptions dispensed injured workers in California in 2014 to model the impact of the draft Medical Treatment Utilization Schedule (MTUS) Drug Formulary released by the Division of Workers’ Compensation last week.

To examine the formulary’s impact, researchers determined the percentages of drugs that that would fall into the “Preferred”, “Non-Preferred”, and “Not Listed” categories; identified the drug groups that would be most affected; and estimated the effect of the “first-fill” provision. CWCI found that Non-Preferred drugs, including opioids and bulk chemicals used in compound drugs (which would require authorization), made up 57.0% of prescriptions and 53.1% of drug spend. The new “Preferred” list would allow 26% of drugs studied to bypassing prospective review, helping speed approved medications to injured workers.

Find out more (including a link to the free report!) by clicking here!

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