REMINDER NOTIFICATION
Workers’ Compensation Pharmaceutical Formulary
Effective Dates
The Kentucky Department of Workers’ Claims (DWC) has promulgated an administrative regulation (803 KAR 25:270) adopting the ODG by MCG Health pharmaceutical formulary for use in the treatment of work-related injuries and occupational disease. Drugs listed in the formulary are assigned “Y” or “N” status. Drugs assigned “Y” status may be dispensed without preauthorization and do not require utilization review. Drugs assigned “N” status, compounded drugs, and prescription drugs not listed in the formulary require preauthorization.
The formulary is available online at www.odgbymcg.com/state-formulary.
The formulary will take effect as follows:
(a) For claims in which the date of injury or last exposure is on or after
January 1, 2019, the formulary shall be effective July 1, 2019.
(b) For claims in which the date of injury or last exposure is prior to
January 1, 2019, the formulary shall be effective:
(1) July 1, 2019 for a prescription that is not a refill prescription;
(2) January 1, 2020 for a refill prescription of a drug initially
prescribed prior to July 1, 2019.
A training webinar is available on the DWC’s website under the “Drug Formulary” tab and at http://info.mcg.com/odg-on-demand-webinar-kentucky-formulary.html. Support and training is also available through the ODG Helpdesk at 800-488-5548 or online at odghelp@mcg.com.
Questions about the formulary regulation may be directed to John Mann at 502-782-4532 or JohnW.Mann@ky.gov.
Additional information is available at https://labor.ky.gov/comp. Department of Workers' Claims is located at 657 Chamberlin Ave, Frankfort, KY 40601. Other questions concerning Department of Workers' Claims can be addressed by calling (502) 564-5550.
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