Ensuring Safe, Necessary, and Cost-Effective Medication Use
Pharmacy review helps ensure the safe, appropriate, and cost-effective use of prescription medications in workers’ compensation claims. It supports recovery while controlling pharmaceutical spend through clinical oversight and evidence-based evaluation.
Medical Necessity and Appropriateness
Each prescription is reviewed to ensure it matches the injury diagnosis, follows clinical guidelines, and supports effective recovery without unnecessary medication.
Dosage, Duration, and Safety
Pharmacy review checks that medications are prescribed at safe dosages and durations, identifying risks like overuse, underuse, or extended treatment that could delay recovery or raise costs.
Risk Management and Compliance
Reviews assess drug interactions, overutilization, and adherence to evidence-based protocols to minimize adverse effects and ensure compliance with regulatory and payer standards.
Key Benefits of Pharmacy Review Services:
Ensures medications align with evidence-based clinical guidelines
Reduces unnecessary or duplicative prescriptions
Identifies high-risk drug combinations and potential safety concerns
Supports formulary compliance and cost containment
Enhances overall claims outcomes through appropriate pharmaceutical care
Whether evaluating a single prescription or an entire medication regimen, pharmacy review provides actionable insights that improve care quality and reduce pharmacy-related expenses.
Partner with Nexus
Leverage expert clinical oversight, streamlined workflows, and data-driven pharmacy review services tailored to the complexities of workers’ compensation. Let us help you improve outcomes and control costs.
See how our Pharmacy Reviews can drive better outcomes, contact us today to learn more.