Workers’-compensation developments in Pharmacy Benefit Management, tracked across U.S. jurisdictions — each story grounded in the primary record with original analysis of what it means for the market.
A 5-2 decision limits Section 306(f.1)(3)(iii) of the Workers' Compensation Act to its eight enumerated service categories, eliminating the statute as a standalone cost-containment tool for carrier pharmacy bill denials.
PAlaw.justia.com
Acting Administrative Director Nicole Richardson's order updates the workers' comp formulary's drug guidance to track the latest ACOEM Traumatic Brain Injury Guideline.
CAdir.ca.gov
DWC's approved UR regulations codify the SB 1160 first-30-days and AB 1124 formulary exemptions, tighten plan accreditation and oversight, and rewrite investigation rules for claims administrators.
CAdir.ca.gov