Medication Review

Pharmacy Utilization Management

CorVel’s medication review program reduces costs by working with all treating physicians to ensure that claimants get the most appropriate care in the most cost effective manner. Our program involves pharmacists and physicians reviewing prescriptions, determining medical necessity, considering alternative medications and obtaining the treating physician’s agreement.

A growing epidemic.
Prescriptions account for over 21% (Source: NCCI) of the total medical costs for workers' compensation claims. Additional challenges include increased narcotics usage for chronic pain, managing multiple medications, low usage of generic brands and coordination among multiple healthcare providers.

A collaborative approach.
CorVel reduces costs by working with treating physicians to ensure that claimants get the most appropriate care in the most cost-effective manner. This program involves a physician review of prescriptions to determine medical necessity, consider alternative medications, and obtain a treating physician’s consent to switch the injured worker to alternative medications.

Comprehensive suite of services.
Our expert clinicians review the patient's entire medical history in order to provide appropriate recommendations for care. We review prescriptions and alternative medications, identify generic alternatives, and review for interactions, contradictives or duplicates.