Important new requirement for NDs who treat Oregon Workers' Compensation patients
Effective immediately, physicians and other providers must complete a clinical justification form when prescribing more than a five-day supply of Celebrex, Cymbalta, Fentora, Kadian, Lidoderm, Lyrica, and OxyContin. These drugs make up about 30% of the total pharmaceutical costs in Oregon's workers' compensation system.
Form 4909, "Pharmaceutical Clinical Justification for Workers' Compensation," is intended to educate providers about the high cost of some drugs, and suggest some lower-cost alternatives.
Anyone who prescribes one of the 7 drugs listed must send the form to the insurance company paying the claim. If the form isn't sent by the provider, then the insurer can file a complaint with the division.
You may also contact the Medical Section of the Department of Consumer and Business Services Workers' Compensation Division at 503-947-7606 or send email to WCDMedicalquestions@state.or.us.
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