Pharmacy Solutions

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Your workers’ compensation and auto-related pharmacy questions answered.

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Is generic Nucynta IR and ER a new option for treating injured employees?

Generic versions of Nucynta are now available in the U.S. market. For workers’ compensation claims, this may create brand-to-generic conversion opportunities, especially as part of a longer-term pain regimen.

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Why do some medications need to be tried before others can be approved?

When you review a medication request, it’s not always clear why one drug is approved first and another is not. That is where step therapy comes in. In workers’ compensation, step therapy gives you a structured, evidence-based framework for evaluating medication requests, starting with well-supported, lower-risk treatments before moving to other options when medically necessary. 

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What is gabapentin and why is it so commonly prescribed?

Gabapentin was approved by the Food and Drug Administration (FDA) decades ago for seizures and nerve pain. Today, it is one of the most commonly prescribed drugs in the United States.

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What emerging trends are influencing pain management approaches in workers’ compensation?

Pain management in workers’ compensation is continuing to shift as opioid prescribing declines and non-opioid alternatives gain traction. These changes reflect a growing emphasis on safety, function and evidence-based care, along with increased scrutiny of medication risk and cost. 

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What is Morphine Equivalent Dose and why does it matter in claims management?

Morphine Equivalent Dose (MED) is a standardized way to estimate a person's total opioid exposure over a 24-hour period. Because different opioid medications have varying potencies, a common measurement helps you compare “apples to apples.” 

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Are private-label topicals like Trubrexa worth the cost in workers’ comp?

Private label topical analgesics (PLTAs) continue to push pharmacy spend higher in workers' compensation claims. Trubrexa is starting to stand out on volume and cost, especially in Florida and Georgia. You often see these products dispensed out-of-network through physician offices or specialty mail order pharmacies. 

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Meet Our Pharmacists

Meet the Pharmacy Solutions Experts

 

Mitch Freeman
Mitch Freeman, 
Pharm.D.

Chief Clinical Officer

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Nikki Wilson
Nikki Wilson,
Pharm.D., MBA

Senior Director of Clinical Pharmacy Services

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Michele Page
Michele Page,
RPh, MBA

Clinical Director, Client Services

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Cameron Hannum
Cameron Hannum,
Pharm.D.

Senior Clinical Account Pharmacist

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Christina Klemm
Christina Klemm,
Pharm.D., BCACP

Senior Clinical Operations Pharmacist

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Spencer Sherman
Spencer Sherman,
Pharm.D.

Clinical Account Pharmacist

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Jonathan Rowell
Jonathan Rowell,
Pharm.D.

Clinical Operations Pharmacist

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Ask a Question

Enabling adjusters and case managers to make educated decisions about drug therapy is a priority.

Our answer: Ask The Pharmacist. Just send an email by clicking the button below and our clinical team will attempt to answer your pressing questions about specific claims and offer clinical expertise to help you make decisions regarding drug-related issues.

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workers' comp Pharmacy 101

Basics of Workers' Compensation Pharmacy Benefit Management

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Our extensive pharmacy program delivers the industry's most comprehensive PBM solution so that you, your team, and your program can navigate what's next with success. Contact us to find out what's next for you. For patient inquiries, please call 866.549.1552. 

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