White Paper
How to Rein In Physician-Dispensed Pharmaceuticals in Workers’ Comp: A Path Forward
White Paper Summary
Physician-dispensed pharmaceuticals have long occupied a contentious space in workers’ compensation. What may start as a convenience for an injured worker can lead to stark cost differences. For example, a topical cream dispensed from a physician’s office for $1,200 could cost under $65 at a retail pharmacy, while a repackaged medication billed at over $250 might sell for less than $10 for a nearly identical bottle at the corner drugstore.
But for payers, third-party administrators (TPAs), employers, and pharmacy benefit managers (PBMs), the challenge isn’t just financial. It’s also clinical. When medications flow through multiple providers with no centralized view of treatment, patient safety concerns emerge alongside the cost issues.
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