Prior Approval Needed for Compound, Dispensed Medications under New Fee Schedule

The 2015 Medical Fee Schedule adopted by the Kansas Division of Workers' Compensation declares that reimbursement for compound drugs and medications dispensed by physicians will be subject to the same formula as all other pharmaceutical payments. The fee schedule rate for generic drugs is the average wholesale price, less 15%, plus $5. Payments for brand-name medications are average wholesale price, less 10%, plus $3. "Compound drugs and physician dispensed medications shall be reimbursed the same as pharmacies based on the original manufacturer (National Drug Code) and shall only b...