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Court Establishes Notice Requirements for UR Involving Prescription Medications

Monday, December 23, 2019 | 0

The Commonwealth Court of Pennsylvania upheld the dismissal of a pharmacy’s application for fee review, but it created a new rule requiring pharmacy providers to be afforded notice and an opportunity to establish a right to intervene when utilization review is conducted for the medications they're supplying. Case: Keystone RX LLC v. Bureau of Workers' Compensation Fee Review Hearing Office (Compservices Inc.), No. 1369 C.D. 2018, 12/12/2019, published. Facts and procedural history: Thomas Shaw injured his left knee while at work in August 2014. His employer authorized treatment...

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