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Workers' Compensation Board

New York State
Workers' Compensation Board
OFFICE OF THE CHAIR
328 State Street  Schenectady, New York 12305
Governor Andrew M. Cuomo


Subject No. 046-1157

Board Announces Third Revision of NYS Workers' Compensation Drug Formulary Regulation

Date: April 17, 2019

The New York State Workers' Compensation Board (Board) has prepared a third revision to the proposed NYS Workers' Compensation Drug Formulary (Formulary) originally announced in Subject Number 046-1012, Board Announces Draft Regulations for New York State Pharmacy Formulary on December 28, 2017. The proposed revision is in the April 17, 2019, State RegisterLink to External Website, and the Board will accept comments for 30 days. The revised proposed regulations are also available on the Board's website.

Additional information about this revision includes:

  • A requirement that all compounded medications must receive prior authorization prior to prescribing and/or dispensing of the medication.
  • Clarification that the Board will create the template for insurance carriers to notify affected medical providers and claimants regarding the Formulary.

The Board encourages the public, injured workers, employers, self-insured employers, insurance carriers, third-party administrators, attorneys, medical providers, and labor and business organizations to provide comment. Please submit your comments on or before May 17, 2019, to regulations@wcb.ny.gov. The Board will evaluate all comments received and will consider necessary revisions as the process advances.

The Board is committed to the successful implementation of the Formulary.

We look forward to receiving your comments.

 

Clarissa M. Rodriguez
Chair