• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • WCW HOME
  • Submit a Wire!
  • Advertising
  • Media Partners
  • About
  • Contact Us

WorkCompWire

Your Trusted Source for Workers Compensation News

Enlyte
  • Workers Compensation News
    • Workers Compensation Industry News
    • Association, Rating & Research News
    • Claims, Legal, & Compliance News
    • Legislative & Regulatory News
    • Risk Management News
    • Work Force & Human Resource News
  • Featured Articles
  • Leaders Speak
  • Editor’s Forum
  • People On The Move

NYS WCB Proposes New Workers’ Comp Pharmacy Benefit Plan

October 12, 2016 - WorkCompWire

Albany, NY – The New York State Workers’ Compensation Board invites comments on a discussion document that proposes the creation of a new Workers’ Compensation Pharmacy Benefit Plan.

The rapid pace of change in the pharmaceutical industry over the last few years has rendered the Board’s pharmacy benefit structure inadequate to address the overwhelming number of new medications that have been introduced to the medical community. The Board’s current pharmacy benefit describes reimbursement levels for brand, generic and compounded products, but otherwise provides little structure or guidance to prescribers. There is no drug formulary in place; no requirement for pre-approval/prior authorization; no process to ensure the appropriateness of prescribed medications.

Goals of a Pharmacy Benefit Plan
The overriding goal of a new Pharmacy Benefit Plan is to ensure that injured workers receive clinically appropriate, cost-effective medications as part of their medical care.

The proposed Pharmacy Benefit Plan outlined in the discussion document addresses multiple issues. It requires insurers provide Pharmacy Benefits Manager services, introduces a prescription drug formulary, imposes limitations on the prescribing of compounded medications, requires compliance with the Medical Treatment Guidelines prescription drug recommendations, and changes the reimbursement methodology.

Feedback
The Board has published the Pharmacy Benefit Plan discussion document on our website. The purpose of this is to give interested stakeholders an opportunity to review and provide feedback on the proposal prior to any official action. We welcome your feedback. The Board asks that all comments be submitted via the supplied comment form: WCB Pharmacy Benefit Plan Comments, no later than November 14, 2016.

Source: NYS WCB

Filed Under: Industry News, Top Stories, Workers' Compensation

Primary Sidebar

Get Our Free Newsletter:

Select list(s) to subscribe to


By submitting this form, you are consenting to receive marketing emails from: WorkCompWire.com, PO Box 1114, Culver City, CA, 90232, http://www.workcompwire.com. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact

myMatrixx

Paradigm

MSQ

Follow Us on Twitter

Tweets by WorkCompWire

Workers Compensation News Topics

  • Top Stories
  • Featured Articles
  • Leaders Speak
  • Editor’s Forum
  • The RxProfessor
  • Industry News
  • Association, Rating & Research News
  • People On The Move
  • Claims, Legal, & Compliance News
  • Legislative & Regulatory News
  • Risk Management News
  • Work Force & Human Resource News
  • Workers’ Compensation

Wire Archives

Copyright WorkCompWire © 2023