- OWCP must approve in advance any compunded medication or specialty drug prescribed by a treating physician, including compound medication containing opioids.
- Prescribers can view the specialty drug list by logging into the Prescriber Portal at https://feca-pharmacy.dol.gov. The specialty drug list will be updated regularly as new products are approved.
- Specialty drugs on the formulary may require prior authorization. All compounded medications require prior authorization. Prior authorization requests should be submitted through the PBM's Prescriber Portal, at https://feca-pharmacy.dol.gov.
- Following review, the PBM, under the strict guidelines provided by OWCP, will make a determination on the request and notify the applicable parties.
- If the claimant disagrees with the determination, they may request a formal decision with appeal rights from OWCP. Formal decisions with appeals rights will be issued by the FECA program, not from the PBM.
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