Controversial physician dispensing legislation goes to Florida governor
However, some practitioners say the measure may result in increasing rather than reducing costs.
S.B. 662 revises the amount of reimbursement for medications to injured workers from physicians. The amount would be capped at 112.5 percent of the average wholesale price, plus an $8 dispensing fee.
The legislation is aimed at containing what some say is exorbitant costs of physician-dispensed drugs. Research from the California Workers' Compensation Institute showed each physician-dispensed repackaged drug prescription in that state added $545 to the average medical benefit costs, and the paid medical benefits on claims with physician-dispensed repackaged drugs was 37.3 percent more than on claims without them.
However, the legislation may have unintended consequences, say some experts. "Unfortunately, employers' and taxpayers' pharmacy costs will increase with the passage of this bill," said Joseph Paduda, principal of Health Strategy Associates, a pharmacy benefit manager. "While capping reimbursement will remove some uncertainty, it also legitimizes physician dispensing of repackaged drugs, a practice that has been proven to extend disability and increase medical costs."
Read more at the WorkersComp Forum homepage.
May 28, 2013
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