Split Court Clarifies Calculation of Reimbursement for Meds

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...