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Board Announces New 6/7/21 Effective Date for Drug Formulary Refills and Renewals

The new effective date for refills and renewals of medications under the New York Workers’ Compensation Drug Formulary ("Drug Formulary") is 6/7/21, according to Board Subject Number 046-1371. The prior proposed rollout date was 1/1/21, but the Board decided to delay the effective date due to the COVID-19 pandemic.

As we have previously noted, the Drug Formulary contains a notice requirement for insurers, self-insured employers, and third-party administrators (payers). Under Rule 441.3, payers must notify health care providers and claimant of the new effective date before 4/1/21. The Board has provided sample notice forms to send to injured workers and health care providers in the Subject Number announcement.

For further information concerning the Pharmacy Formulary, please contact our partner Renee Heitger

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