New Formulations of Common Workers’ Compensation Drugs

Over the last year and a half, the FDA approved several new formulations of existing medications that are commonly prescribed in workers’ compensation claims.  Some of these new formulations have already been released to the market by their manufacturers and others are expected to be available later this year.  Newly formulated medications which are currently … Read moreNew Formulations of Common Workers’ Compensation Drugs

Pharmacy Update: March 2012

Over the past several years, prescription drug costs in workers’ compensation claims have risen dramatically, making it increasingly more important for claims professionals to carefully evaluate this exposure and mitigate costs when possible. PMSI understands that keeping up to date on new generic formulations is part of an overall strategic approach to reduce the cost … Read morePharmacy Update: March 2012

PMSI Meets with CMS Regarding Prescription Drug Allocation Issues

On September 20, 2010, PMSI Settlement Solutions met with CMS to continue our dialogue around the pharmacy portion of MSA allocations. Our main focus during this meeting was to address inconsistencies we are all experiencing in the interpretation of the May 14, 2010 Memorandum regarding Part D covered prescription drugs. PMSI addressed inconsistencies concerning off-label prescription drug usage, the appropriate treatment duration for acute drugs, and the re-review process. For example, we highlighted inconsistencies across reviewers at the Workers’ Compensation Review Center (WCRC) regarding the exclusion of drugs like Lyrica, Gabapentin and Lidoderm. PMSI also requested that CMS issue a formal directive in regards to which compendia will be utilized during the review process. We highlighted the need for policies and procedures that would support the various policy memos.

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