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Lower Settlement Costs Possible With Oxycodone-Acetaminophen Price Drop

Our readers familiar with workers’ compensation Medicare Set-Aside Arrangements (WCMSAs) know that certain medications can result in sky-high WCMSAs. Certain opioid medications carried per-pill prices of over $3.00, leading to cases that could not settle until the claimant was weaned from the expensive medications. One common opioid, oxycodone-acetaminophen (10-325mg) had a Medicare price of  $3.37/pill, but now is priced by Medicare at only $0.78/pill. 

The reduction in the price of this common opioid medication should allow settlement of cases previously unable to settle due to high medical costs. We recommend that our clients review their claims to find cases that were previously unable to settle due to the claimant’s use of oxycodone-acetaminophen and see if the WCMSA can be recalculated based on the new pricing. 

For any questions about how this reduction in CMS pricing can benefit your cases, please contact our partner, Dan Bowers

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