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Sharing perspectives leads to greater understanding and fuels innovation. The ​Optum Insights ​blog is where we share our perspective and challenge preconceptions to clear a new path forward


  • Texas adopts closed drug formulary rule changes to require preauthorization on compounded medications

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    • Optum Workers' Comp
    | Apr 18, 2018
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    Drug Formulary, Formularies, Compounded Medications
    Effective July 1, 2018, the Texas Division of Workers’ Compensation (TDWC) formally enacts changes to its Closed Drug Formulary. The changes enforce new requirements for preauthorization and prospective review of compounded medications.


  • National Prescription Drug Take Back Day Slated for April 28

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    • Optum Workers' Comp
    | Apr 17, 2018
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    Overdose, DEA
    Saturday, April 28, from 10 a.m. to 2 p.m., is National Prescription Drug Take Back Day sponsored by the U.S. Drug Enforcement Administration (DEA). The purpose of National Prescription Drug Take Back Day is to provide a safe, convenient, and responsible way to dispose of prescription medications that are unwanted, unused, or expired, while also educating the public on the potential abuse of medications.


  • Arizona enacts enhanced opioid controls for workers’ compensation claims

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    • Optum Workers' Comp
    | Apr 11, 2018
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    Drug Utilization Review, Workers' Compensation, Opioids
    On March 29, 2018 Arizona Governor Ducey signed into law Senate Bill 1111, to better control opioid utilization in the Arizona workers’ compensation system. SB 1111 applies prescribing restrictions for doctors who are providing opioid analgesic treatment specifically to injured workers. The Bill also enhances opioid reporting and requires doctors to provide the appropriate justification as to why opioids are necessary to treat a work-related injury.


  • FDA advisory committee recommends approval of lofexidine for opioid withdrawal symptoms

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    • Optum Workers' Comp
    | Apr 06, 2018
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    Workers' Compensation, Opioids, FDA
    An advisory committee of the U.S. Food and Drug Administration (FDA) voted to approve a non-opioid, lofexidine hydrochloride, to alleviate the symptoms of abrupt opioid withdrawal. Lofexidine, an alpha-2 adrenergic agonist that works by reducing the release of norepinephrine, is similar to clonidine, which has been used off-label for the management of opioid withdrawal symptoms. According to this report, lofexidine has been found to be safe and effective in reducing symptoms of nausea, vomiting, anxiety, diarrhea and the overall feeling of sickness during withdrawal. Lofexidine has been marketed in the United Kingdom (UK) as BritLofex since 1992 to relieve symptoms in patients undergoing opioid detoxification.


  • Kentucky workers’ compensation drug formulary bill signed

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    • Optum Workers' Comp
    | Apr 04, 2018
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    Workers' Compensation, Opioids, Formularies, Chronic Pain
    Kentucky House Bill 2, workers’ compensation reform legislation, was recently signed into law. The new law addresses several areas – including requiring the adoption of a drug formulary and additional medical treatment guidelines addressing chronic pain management and opioid use.


  • West Virginia enacts opioid prescribing restrictions

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    • Optum Workers' Comp
    | Apr 03, 2018
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    Workers' Compensation, Opioids
    On March 27, West Virginia’s governor signed into law Senate Bill 273, comprehensive legislation addressing opioid prescribing and related treatment. The most notable provisions in this bill establish opioid prescribing limits and prescriber requirements for initial, subsequent and ongoing treatment.


  • Indiana Workers’ Compensation Drug Formulary Bill Signed

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    • Optum Workers' Comp
    | Mar 28, 2018
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    Workers' Compensation, formulary, Formularies
    Indiana Senate Bill 369 was recently signed into law. This new law requires implementation of a workers’ compensation drug formulary based on the Official Disability Guidelines (ODG) Workers' Compensation Drug Formulary Appendix A, effective initially January 1, 2019.



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