Chapter 4.5. Division of Workers' Compensation
Subchapter 1. Administrative Director--Administrative Rules
Article 5.5.2. Medical Treatment Utilization Schedule

§ 9792.27.18. Pharmacy and Therapeutics Committee - Composition; Application for Appointment; Term of Service.

(a) The Administrative Director shall create an independent Pharmacy and Therapeutics Committee (P&T Committee) to review and consult with the Administrative Director on available evidence of the relative safety, efficacy, and effectiveness of drugs within a class of drugs, for purposes of updating the MTUS Drug List.

(b) The P&T Committee shall consist of the Executive Medical Director, and six members appointed by the Administrative Director.

(1) The Executive Medical Director, or his or her designee, shall serve as chairperson of the P&T Committee. If the Executive Medical Director position becomes vacant, the Administrative Director shall appoint a competent person to temporarily assume the authority and duties of the Executive Medical Director on the P&T Committee, until such time that the Executive Medical Director position is filled.

(2) The Administrative Director shall appoint 3 pharmacists and 3 physicians (medical doctors or doctors of osteopathy) to serve on the P&T Committee. At least one of the physicians appointed shall be actively engaged in the treatment of injured workers. At least one of the pharmacists appointed shall be an actively practicing pharmacist.

(3) The members of the P&T Committee shall be appointed to serve a two-year term, but shall remain in the position until a successor is appointed. A member may apply to be reappointed when his or her two-year term ends. The Administrative Director may cancel the appointment of a committee member if a substantial conflict of interest arises, or for other reason constituting good cause.

(c) A person interested in serving on the P&T Committee shall submit an application on the form prescribed by the Administrative Director and a completed Conflict of Interest Disclosure Form. The applicant for P&T Committee appointment shall demonstrate that he or she has knowledge or expertise in one or more of the following:

(1) Clinically appropriate prescribing of covered drugs;

(2) Clinically appropriate dispensing and monitoring of covered drugs;

(3) Drug use review;

(4) Evidence-based medicine.

Note: Authority cited: Sections 133, 4603.5, 5307.3 and 5307.27, Labor Code. Reference: Sections 4600, 4604.5, 5307.27 and 5307.29, Labor Code.

HISTORY

1. New section filed 12-7-2017; operative 1-1-2018 pursuant to Government Code section 11343.4(b)(3) (Register 2017, No. 49).