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Proposed WCB Rule Takes Aim at Work Comp PBMs

By Elaine Goodman (medical/business Reporter)

Friday, December 7, 2018 | 495 | 0 | 47 min read

New York may become the first state to adopt a rule regarding drug pricing transparency and rebates specifically for workers’ compensation pharmacy benefit managers, which thus far have largely been able to avoid such requirements when contained in state legislation. The New York Workers’ Compensation Board proposed the PBM requirements as part of an update to its workers’ comp pharmacy fee schedule. Under a proposed new section of the fee schedule rule (page 24, here), pharmacy benefit managers would have to pass along any drug rebates or other "third-party revenue&qu...

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