Opioid painkiller abuse and physicians' dispensing of repackaged drugs tops the list of cost drivers in the 2012 Survey of Prescription Drug Management released by CompPharma, LLC, a consortium of workers' compensation pharmacy benefit managers. Joseph Paduda, principal of Health Strategy Associates and president of CompPharma, has conducted the study for nine consecutive years.
Respondents said opioids were the biggest problem in workers' compensation pharmacy management and most had implemented programs to address opioid overuse and abuse. These programs included nurses conducting specialty reviews, pharmacists contacting treating physicians, physician peer-to-peer contact, urine drug testing, education on proper dosage and monitoring and increased use of WC-PBM drug utilization, fraud and abuse programs.
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