Effective July 15, 2012, Connecticut’s new Official Practitioner Fee Schedule limits the reimbursement amount for physician-dispensed repackaged drugs to the manufacturer’s average wholesale price (AWP) of the original drug product or therapeutically equivalent drug product. Connecticut’s reform was aimed at reducing the prices paid for physician-dispensed prescriptions while physicians continued to be able to dispense drugs they prescribe to their patients. As of April 2016, 20 states have made changes to rules governing physician dispensing.
This report is part of a series of WCRI studies that examine the effects of regulatory or legislative changes to the rules governing reimbursement for physician-dispensed prescriptions. This report presents the results of the price-focused reform on the frequency and costs of physician dispensing in Connecticut, using detailed transaction data for physician- and pharmacy-dispensed prescriptions filled by injured workers up through the first quarter of 2014 that capture nearly 20 months of post-reform experience.
Monitoring Connecticut Reforms on Physician Dispensing. Dongchun Wang, Vennela Thumula, and Te-Chun Liu. July 2016. WC-16-44..
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