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| Pharmacy Program |
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The State of Arkansas has
contracted with
AWPRx/Matrix to provide workers’ compensation pharmacy benefits
beginning on
November 1, 2011. The program has two
components: a 10-day first fill program,
and then a subsequent fill program. The
cards/forms in this program do not replace the employee’s health
insurance card
and should only be used for treatment related to the workers’
compensation
injury.
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- 10 Day First
Fill Program
- When an injured employee reports a
workers’ compensation injury for which he or she is going to
receive medical
treatment, a temporary pharmacy form should be completed and given to
the
employee to take to the pharmacy. A copy
of the completed temporary pharmacy form should be made and sent with
the
initial claims paperwork to the Public Employee Claims Division.
When the employee presents the card to the
pharmacy, he or she will be given up to a 10-day supply of medication
if it is
on the Formulary.
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- Subsequent
Fill/Permanent Card Program
- After filling the prescription
using the temporary pharmacy form, the employee’s information
will be uploaded
to the pharmacy benefits manager and a permanent card will be mailed to
the
employee for use for his or her workers’ compensation injury.
Employees with open accepted claims as of
late October, 2011, will be mailed a permanent card for filling
prescriptions
related to their workers’ compensation injury.
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- The pharmacy network is
nationwide. Over 700 pharmacies in the
State of Arkansas
are participating in the network.
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- A list of approved medications has been
developed by
the University of Arkansas Medical Sciences College of Pharmacy
Evidence-Based
Medicine Program. Medications that are
on the Formulary prescribed by authorized treating physicians will be
approved
utilizing a streamlined process. Medications that are not on the
Formulary, or are not prescribed by authorized
treating physicians to treat the injury, will require a
pre-authorization. Below is a link to the Formulary.
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