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| [January 09, 2013] |
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Opioids and Physician Dispensing of Repackaged Drugs Lead Comp Pharmacy Cost Drivers
TAMPA, Fla. --(Business Wire)--
Opioids and physician dispensing of repackaged drugs topped the list of
cost drivers in the 2012 Survey of Prescription Drug Management released
by CompPharma, LLC, a consortium of workers' compensation pharmacy
benefit managers (WC-PBMs). Joseph Paduda, principal of Health Strategy
Associates and president of CompPharma, has been conducting the study
for nine consecutive years.
Respondents said opioids were the biggest problem in work comp pharmacy
management and most had implemented programs to address opioid overuse
and abuse. These programs included nurses conducting specialty reviews,
pharmacists contacting treating physicians, physician peer-to-peer
contact, urine drug testing, education on proper dosage and monitoring,
and increased use of WC-PBM drug utilization, fraud and abuse programs.
Physician dispensing of marked-up repacked drugs came in as the second
highest cost driver. Speciic concerns were:
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Patient safety (physician-dispensed drugs do not go through a WC-PBM's
drug utilization review process, potential duplicate therapy,
unnecessary medications and/or medications not related to the
claimant's injury
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Higher costs due to repackaged drugs costing much more than the same
medications dispensed at retail pharmacies
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Extended disability duration
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Higher overall medical costs
Respondents were decision makers and operations staff of 18 workers'
compensation insurance carriers or third-party administrators. These
companies' total prescription expenses amounted to $473 million, 12
percent of the total estimated workers' compensation drug spend.
Conducted during the fall of 2012, the survey used payer prescription
data from 2011 and a summary may be downloaded from www.comppharma.com/survey.html.
About CompPharma
Established by industry consultants Joseph Paduda and Helen Knight,
CompPharma, LLC is a consortium of workers' compensation PBMs active in
workers compensation. More information is available at www.comppharma.com
or by contacting Helen Knight at 813-837-1701 or hknight@comppharma.com.
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