Pharmacy
Benefit Management (PBM)
Prescription drugs continue to comprise a large portion of the total workers' comp spend.
They are also often the payer’s first point of visibility into an injured worker’s medical activity, representing an important opportunity to impact a claim’s trajectory. Identifying and avoiding potential missteps can mean the difference between a rapid return to health – and to work – or reduced function, poor quality of life, and thousands of unnecessary dollars.
Less than 10% of workers' comp claims receiving rx drugs account for over 60% of total pharmacy spend