Search      Advanced Search | Browse By Topic
Magazine Content
Home
Features
Columnists
Industry Risk Reports
In-Depth Series
Special Reports
Point/Counterpoint
R&I One® Content
News & Analysis
Editor's Choice Stories
Resources and Tools
Power Broker® Directory
Risk InnovatorTM
Emerging Risks
Top Employee Benefits Consultant
Executives To Watch
Insights
Industry Events
WorkersComp Forum
Award Nominations
Webinars
RSS
R&I Information
Subscription Center
Advertiser Information
About Us
Contact Us
 

Newsletter Sign-up

Click on the name of the free newsletter below to preview:

R&I One®
WORKERSCOMP Forum TM Update
HTML Text
E-Mail Address:


Click here to unsubscribe
Privacy Policy
Preferences

 

Examples of medical foods

A 2010 study by the California Workers' Compensation Institute brought to light the issue and possible extent of medical foods on that state's workers' comp system. Since then, their use has spread to other areas of the country.

Print Email Add to Facebook Add to Twitter Add to LinkedIn Write to the Editor Reprints

In the study, the authors said charges for medication co-packs submitted on workers' comp claims have been billed under a single national drug code, and "claims administrators generally reimburse the prescription drug and the medical food (if medically necessary) separately."

"According to the FDA, national drug code numbers are intended for uniquely identifying drugs and should not be used on the labels of products such as medical foods, which are not drugs," the study went on. "The presence of an NDC number on a product that is not a drug may be a false or misleading representation that misbrands the product under Section 403(a)(1) of the Federal Food, Drug and Cosmetic Act. Nevertheless, some medical foods that have been prescribed for injured workers have been billed under national drug codes that have been assigned by a labeler."

In the study, co-packs and medical foods were identified using the labeler code portion of the national drug code -- the first five digits of the standard NDC composition -- used by the primary manufacturer of these substances for California injured workers.

The authors identified the following as medical foods:

  • Theramine - 60 (tablets).
  • Theramine - 90.
  • Gabadone - 60.
  • Sentra PM - 60.
  • Sentra AM - 60.
  • Apptrim - 120.
  • Apptrim-D - 120.
  • Trepadone - 60.
  • Pulmona - 90.
  • Virilex - 60.
  • Hypertensa - 60.
  • Hypertensa - 90.

September 27, 2011

Copyright 2011© LRP Publications

 
 
 
 
 
 
 
 
 
 
 
RISK logo
 

Back to top

Entire contents copyright © 2013 Risk and Insurance® All rights reserved. May not be reproduced in any form without written permission.