Tuesday, August 12, 2014

Colorado Attorney Has been Receiving Questions Regarding exorbitant cost being charged by pharmacies for compound medications – usually topical anti-inflammatory agents combined with topical local anesthetics; Medical Fee Schedule addresses the maximum amount which a pharmacy may charge for the compound medications

Recently I have had a number of clients inquire about the exorbitant cost being charged by pharmacies for compound medications – usually topical anti-inflammatory agents combined with topical local anesthetics. Pharmacies have been charging upwards of $3,000 or more for a one-month supply, depending on the agents/ingredients in the compound medication. Surprisingly, all of these insurers used vendors to review the invoices for the compound medications, and none of the vendors realized that the Medical Fee Schedule addresses the maximum amount which a pharmacy may charge for the compound medications. Colorado workers’ compensation Medical Fee Schedule. W.C.R.P. 18-6 (M)(4) provides:
Compounded Drugs
  • All prescriptions shall be billed using the DoWC Z code corresponding with the applicable category for compounded topical products as follows:
- See more at: http://picardilawfirm.com/medical-fee-schedule-addresses-compound-medications/#sthash.lar9jWyj.dpuf

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