September 2026 Three developments this month are worth tracking for every workers’ compensation pharmacy professional. Maryland’s first-ever workers’ comp pharmacy fee schedule is now overdue, and it replaces list prices with acquisition cost. The fight […]
Back to Claims School Medication can play an important role in recovery after a workplace injury. It may reduce pain, support sleep, control inflammation, address nerve symptoms, or help an employee participate more fully in […]
August 2026 Three developments this month share a single subject: who gets to dispense the drug and at what price. Florida’s appellate ruling on physician dispensing is now headed for a legislative fight. Arizona released […]
July 2026 Three developments this month are worth noting for every workers’ compensation pharmacy professional and payer. Texas is taking a proactive step that other states should watch closely—and it has now opened a comment […]
Compliance Corner What does Michigan require for reimbursement of dispensed prescription medications? Thanks to Simply Research, here's a guide. AWP Minus 10% Prescription medication must be reimbursed at the average wholesale price minus 10%, as […]
Case File The Pennsylvania Supreme Court found that physicians' referring workers' compensation claimants to a pharmacy in which the physicians had a financial interest didn't violate the state's anti-referral statute because "prescription drugs" and "pharmaceutical […]
June 2026 Three developments in June demand attention from anyone managing pharmacy programs in workers' compensation. One is a fresh Pennsylvania Supreme Court ruling that reshapes how physician self-referrals to pharmacies can be challenged. A […]
By Dennis M. Sponer, J.D., LL.M., MBA | May 2026 Three major developments in May warrant the attention of all workers’ compensation professionals overseeing pharmacy or PBM programs. Two have immediate operational impacts, while the […]