Division of Federal Employees' Compensation (DFEC)
Information on DFEC's Pharmacy Benefits Management (PBM) Program
In November of 2018, the Department of Labor awarded a contract to provide Pharmacy Benefit Manager (PBM) services to the Office of Workers' Compensation Programs, Division of Federal Employees' Compensation (DFEC), on claims covered under the Federal Employees' Compensation Act (FECA). DFEC's PBM will be responsible for pharmaceutical transactions including but not limited to implementation of OWCP DFEC eligibility determinations and pricing for pharmaceutical drugs provided to FECA claimants.
Presently, DFEC's PBM may provide services under the contract to only approximately 3,000 claimants receiving 90 MED (Morphine Equivalent Dosage) or higher of prescribed opioids. DFEC claimants identified as part of this small population will be required to use the PBM for prescribed medication. Welcome packets and pharmacy cards will be mailed to these claimants in phases and payment for prescriptions for these claimants will not be authorized at the pharmacy on or after the effective date printed on the recipient's card, unless the card is presented at a participating pharmacy. Claimants within this small population must present the FECA/First Script card to a participating pharmacy along with their prescriptions for an accepted FECA work-related injury. Claimants can search for participating pharmacies on the web or by contacting First Script at 877-344-3811. Use of the First Script/FECA pharmacy program is mandatory at this time for claimants identified as receiving 90 MED (Morphine Equivalent Dosage) or higher of prescribed opioids.