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Community Requests

Questions, Concerns Linger About Proposed Formulary Rules

By Greg Jones (Deputy Editor)

Tuesday, August 8, 2017 | 1662 | 0 | 137 min read

California workers' comp professionals have a number of questions and concerns they’re hoping the Division of Workers’ Compensation will address before it puts in place a drug formulary at the start of 2018. Some users are urging the DWC to use unique drug identifiers such as National Drug Codes that would be tied to reimbursement rates to close loopholes allowing providers to avoid price controls. But others warn cutting rates too much could cut into profits of pharmacy benefit managers and chill their desire to participate in the workers’ compensation system. Whe...

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