Formulary Guidelines Prohibit Conflicts of Interest, Allow Approval With Phone Call

One call. That may be all it takes for employers and insurance carriers to authorize the use of drugs that aren't on Indiana's new formulary list, according to a rough draft of guidelines released this month. An Indiana Workers' Compensation Board task force met last week and reviewed the draft of the guidelines, which are intended to help doctors, carriers and employers know how to approve, reject or appeal decisions on drugs that have been deemed dangerous or too expensive. If a doctor decides that an "N" drug — one not on the formulary — i...