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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


  • UPDATE: Florida takes regulatory action on compounds

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    • Optum Workers' Comp
    | Jun 30, 2017
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    Workers' Compensation
    In response to a recent workcompcentral.com article regarding the pre-authorization of compounds over $1000 in Florida, we take this opportunity to re-release our blog post of May 11, 2017. Our original blog noted that the change in the pre-authorization applies to all compounded medications regardless of the billed amount. Pharmacies may submit compounded medications for pre-authorization and the claims administrator now has 10 days to respond to that request.


  • First-time generic approved for Truvada®

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    • Optum Workers' Comp
    | Jun 29, 2017
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    Workers Comp, Truvada, Generics, FDA
    The U.S. Food and Drug Administration (FDA) recently approved Teva’s AB-rated generic for Gilead’s Truvada® (emtricitabine/tenofovir disoproxil fumarate) 200 mg/300 mg oral tablet. This is the first time a generic has been approved for this medication. Truvada is a combination antiretroviral medication indicated for use in combination with other antiretroviral medications for the treatment of human immunodeficiency virus type-1 (HIV-1) infection in adults and pediatric patients weighing at least 17 kg (approximately 37.5 pounds), and in combination with safer sex practices for pre-exposure prophylaxis (PrEP) to reduce the risk of sexually acquired HIV-1 in adults at high risk.


  • Teva introduces generic Skelaxin®

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    • Optum Workers' Comp
    | Jun 22, 2017
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    Workers Comp, Skelaxin, Generics
    Teva Pharmaceuticals announced it will be manufacturing a generic version of Skelaxin® (metaxalone) tablets. Skelaxin is a skeletal muscle relaxant used to relieve discomfort associated with acute, painful musculoskeletal conditions as an adjunctive therapy. Metaxalone is currently available in 400 mg and 800 mg tablets; however, Teva is only advertising the launch of 800 mg tablets. This new generic adds to a list of other previously released generic metaxalone tablets.


  • Update to Voluntary recall of Eliquis® (apixaban) 5 mg tablets

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    • Optum Workers' Comp
    | Jun 22, 2017
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    Workers Comp, Eliquis, Medication Recall, FDA
    UPDATE: On June 10, one lot of Eliquis was recalled and designated as a consumer-level recall. On June 17, this recall was changed to a retail/dispensing level only recall. The recall is currently underway at the pharmacy level. As a reminder, patients should not stop taking Eliquis without consulting with their doctor. For more information on this update, click here.


  • Texas releases informal draft rule to close compounded loophole

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    • Optum Workers' Comp
    | Jun 20, 2017
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    TX DWC, Workers' Compensation, Formularies, Compounded Medications
    The Texas Division of Workers’ Compensation (DWC) recently released an informal draft rule amending the closed formulary definition in Rule 134.500. The amended definition would exclude any compounded medication from the closed formulary. Medications excluded from the Texas Closed Formulary can only be prescribed following a prior authorization process including documentation of medical necessity. Previously, only compounded medications with an “N” ingredient, as identified in the Official Disability Guidelines (ODG) Appendix A, were excluded from the closed formulary.


  • Louisiana latest to adopt initial limits for Opioid Analgesics

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    • Optum Workers' Comp
    | Jun 20, 2017
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    workers compensation, Opioids
    Louisiana Governor John Bel Edwards recently signed into law HB 192, sponsored by Representative Helena Moreno – D (Orleans Parish). HB 192 has several components that are similar to the opioid limit laws that have passed in other states. The bill amends the Louisiana Public Health and Safety law R.S. 40:978 by adding section (G) limiting the initial prescription for an opioid analgesic for treating acute pain to a seven-day supply. This section does give some flexibility to the treating physician to prescribe more than a seven-day supply if, “in the professional medical judgment of a medical practitioner, more than a seven-day supply of an opioid is required to treat the adult or minor patient’s acute medical condition...” This section would also require the practitioner to document, in the patient’s medical record, the condition triggering the need for an opioid analgesic beyond the seven-day prescribing limit.


  • Medication recall for one lot of Eliquis® (apixaban)

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    • Optum Workers' Comp
    | Jun 15, 2017
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    Eliquis, Workers Comp, Medication Recall
    Bristol-Myers Squibb Company announced a consumer-level recall on one lot of Eliquis® (apixaban) 5 mg tablets were mislabeled due to a complaint from a customer who found Eliquis 2.5 mg tablets in their bottle that should have contained 5 mg tablets.



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