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Updated pharmaceutical price files posted
Beginning with the April 11, 2012 data file, the Division of Workers’ Compensation will resume posting weekly updated price data files for download and for use in the price calculator. Due to a delay in the availability of updated Medi-Cal pharmaceutical price data beginning in September of 2011, it has been many months since updated price files were posted on the Division’s website. The Department of Health Care Services has indicated that there may be further Medi-Cal price updates for some national drug codes (NDCs) in the coming weeks as it works to restore price dates that were missing due to the unavailability of First Data Bank average wholesale price (AWP) data that began in September of 2011. The Division will provide further information when the price file updates are complete.
For notifications regarding the delay and the resumption of weekly price files please see the DWC Newslines:
DWC newsline 17-12.
DWC newsline 56-11.
DWC newsline 42-11.
Workers' compensation pharmaceutical fee schedule – Physician dispensed pharmaceuticals
Legislation that became effective on January 1, 2012 places new caps on fees for pharmaceuticals dispensed by physicians. These new caps are contained in Labor Code section 5307.1.
This data is provided as a service to the workers' compensation community. Please send comments or questions to DWCFeeSchedule@dir.ca.gov.
You may download the current Medi-Cal pharmacy fee rates here (Zip file, 8.31 MB, updated 5/23/2012, with additional NDC numbers - also available via ftp to www.dir.ca.gov, anonymous login). The file's record layout and instructions are included in the zip file, and may also be viewed here.
You may look up the current price of Compound prescriptions by completing the form below and clicking "price". For simple prescription pricing, click here. If you are working from a file with 10 digit NDC numbers, please click here.
Enter total count of separate ingredients in compound prescription, then click continue:
Effective Jan. 6, 2006, the price calculator and the price data file are being updated weekly, as DWC receives updated price data from the Department of Health Care Services.