Clinical Resources

2023 Edition

Information on some of the most commonly prescribed medications in workers’ compensation. Claims professionals can use this guidebook as a resource that provides easy access to information regarding indications, generic availability and possible alternatives.

A key benefit of the guidebook to claims professionals is that information can be used when contacting a prescriber to determine if drugs on the list of alternatives have been tried. If the prescriber has attempted at least one of the other medications, the claims professional can feel more confident in approving the medication as the decision was supported with clinical evidence.

Medications are listed alphabetically in the guidebook by generic name with the brand version beneath. This is modified from the industry standard of listing the brand version first to better reflect that the majority of drugs dispensed are now generic. This guidebook is solely for reference purposes and is not intended, nor should be used or relied upon for the purposes of prescribing or using a product. The trademarks and other product names listed in this guide are the property of their respective companies.

myMatrixx's clinical team is available to answer questions related to a patient’s medication regimen. In some instances, a recommendation may be made to conduct a One Drug Review or a more comprehensive Clinical and Safety Evaluation (CASE Rx)^SM. Both of these products feature outreach to the prescriber to discuss the use of alternative medications and they may incur a charge.

2022 Edition

This guide provides information on some of the most commonly prescribed medications in workers’ compensation. The intent is to provide a resource for claims professionals that allows easy access to information regarding indications, generic availability, and possible alternatives.

Medications are listed alphabetically by generic name with the brand version beneath. This is modified from the industry standard of listing the brand version first to better reflect that the majority of drugs dispensed are now generic. The medication list, potential off-label uses, and possible alternatives are not exhaustive.

The myMatrixx clinical team is available to answer questions related to a patient’s medication regimen. In some instances, a recommendation may be made to conduct a One Drug Review or a more comprehensive Clinical and Safety Evaluation (CASE Rx)^SM. Both of these products feature outreach to the prescriber to discuss the use of alternative medications and they may incur a charge.

This guide is not intended and should not be used or relied upon for the purposes of prescribing or using a product. It is solely for reference purposes. The trademarks and other product names listed in this guide are the property of their respective companies.

2021 Edition

The intent of this guidebook is to provide a resource for claims professionals that provides easy access to information on medications that have been rejected and provides possible alternatives to the rejected medications. The guidebook also provides the most common indication for each medication when used in the workers’ compensation population. A list of medications that should be considered prior to the rejected medication (step therapy) is presented, along with a supporting rationale.

For 2021 we have added the “Brand to Generic Reference Guide: Workers’ Compensation Pharmaceuticals,” previously a separate document, as a reference section to this guide. This resource provides information on some of the most commonly prescribed medications in workers’ compensation with a focus on generic availability. Some products may no longer be available as a result of discontinuations, and some new products may have been added after this guide was published. This guide is solely for reference purposes and not intended and should not be used nor relied upon for purposes of prescribing or using a product. The trademarks and other product names listed in this guide are the property of their respective companies.

2020 Edition

The intent of this guidebook is to provide a resource for claims professionals that allows easy access to information on medications that have been rejected and that provides possible alternatives to the rejected medications. The guidebook also provides the most common indication for each medication when used in the workers’ compensation population.

TA list of medications that should be considered prior to the rejected medication (step therapy) is presented, along with a supporting rationale.

2020 Edition

This guide provides information on some of the most commonly prescribed medications in workers’ compensation. Included for each medication is the brand name and the availability of a generic equivalent. Some products may no longer be available as a result of discontinuations, and some new products may have been added after this guide was published.

This guide is not intended and should not be used nor relied upon for purposes of prescribing or using a product. It is solely for reference purposes. The trademarks and other product names listed in this guide are the property of their respective companies.

When used properly, prescription drugs can have a significant positive effect on injured workers by helping them recover and return to work as soon as possible. However, the issue is fraught with peril due to two powerful forces including misaligned financial incentives and potential misuse, abuse and addiction

This book outlines the strategies to control these negative forces to allow prescription medications to deliver positive outcomes. It covers three major areas including the role of the pharmacy benefits manager, controlling pharmacy cost drivers and taking a team approach between pharmacy benefits managers and third party carriers.