December 20, 2022
Massachusetts Attorney General Maura Healey announced that a pharmacy benefits manager, Health E Systems, has agreed to pay $275,000 for allegedly failing to follow prescription pricing procedures that are designed to prevent overcharges in the workers’ compensation insurance system. The …
November 8, 2022
Pharmacy benefits manager Express Scripts, Inc. has agreed to pay $3.2 million after allegedly failing to follow prescription pricing procedures intended to keep costs down and prevent overcharges in the state’s workers’ compensation insurance system, according to Massachusetts Attorney General …
November 27, 2017
Though the number of physician dispensed prescriptions has declined considerably from just a few years ago, the workers’ compensation industry continues to battle a market seeking to maintain high prices by changing drug strength and formulations. The impact of physician …
November 15, 2017
Workers’ compensation payers saw an average 11 percent reduction in their pharmacy spend in 2016, driven by a 13.3 percent reduction in opioid cost, according to an annual survey by pharmacy benefit manager CompPharma. CompPharma’s 14th Annual Survey of Prescription …
April 7, 2016
Overall pharmacy spending increased 2.2 percent for U.S. workers’ compensation payers in 2015 due to higher drug prices, according to a report by benefit manager Express Scripts. That overall increase was a function of 2.6 percent lower injured workers’ drug …
March 10, 2015
While workers’ compensation pharmacy benefit managers have been utilizing drug formularies to control prescription drugs costs and monitor medical treatments for a long time, states are now catching on. Drug formularies are lists of prescription drugs that are considered appropriate …
May 2, 2013
After years of struggling to rein in the cost of physician-dispensed drugs, Florida workers’ compensation insurers finally reached a compromise with physicians and drug companies that is projected to reduce costs by some $20 million. Florida lawmakers today approved the …
February 27, 2012
Florida lawmakers appear headed toward a stalemate over how to rein-in the cost of physician-dispensed workers’ compensation prescription drugs. In an effort to force a deal, Senate lawmakers are calling for a statewide average 2.5 percent rate cut if a …