CWCI Reports Drop in UR Decisions Involving Drugs Since Launch of Formulary

Utilization review decisions involving prescription drugs dropped in the first five months following the implementation of the new formulary, the California Workers’ Compensation Institute reported. The proportion of utilization review decisions involving prescription drug requests fell by 8.5% after formulary rules took effect that allowed doctors to prescribe certain drugs without prospective review. In the first five months of 2018, 40.7% of UR decisions involved prescription drug requests. That compares to 44.5% of UR decisions involving drugs during the first five months of 20...