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Split Court Clarifies Calculation of Reimbursement for Meds

Thursday, January 14, 2021 | 124 | 0 | 102 min read

The Commonwealth Court of Pennsylvania ruled that a pharmacy was entitled to payment of its bill for a compound cream it dispensed at 110% of average wholesale drug prices. Case: Indemnity Insurance Co. of North America v. Bureau of Workers’ Compensation Fee Review Hearing Office (Insight Pharmacy), No. 696 C.D. 2018, 01/05/2021, published. Facts and procedural history: Jessica Breidenbach suffered a work-related back injury in 2013. She received treatment from Dr. David Lichten. Lichten prescribed a compounded medical cream, and Breidenbach filled it through Insight Pharmac...

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