Medical Treatment Utilization Schedule - drug formulary

The Division of Workers’ Compensation has adopted a drug formulary to implement Assembly Bill 1124 (Statutes 2015, Chapter 525). The regulations establish an evidence-based drug formulary, consistent with California’s Medical Treatment Utilization Schedule (MTUS), to augment the provision of high-quality medical care, maximize health, and promote return to work in a timely fashion, while reducing administrative burden and cost.

MTUS Drug Formulary – effective January 1, 2018

Formulary regulations

Healthcare providers treating, evaluating, or performing utilization review in the California workers’ compensation system may access the MTUS (ACOEM) Guidelines and MTUS Drug List at no cost by registering at https://www.mdguidelines.com/MTUS.  

Pharmacy & Therapeutics Committee

The Administrative Director has appointed the P&T committee pursuant to Labor Code section 5307.29.  The formulary regulations (title 8, Cal. Code Regs. §§9792.27.18 – 9792.27.23) set forth a description of the role of the Committee and the qualifications to serve.

Join us for our next meeting

DWC is Now Accepting Applications to serve on the Pharmacy & Therapeutics Committee for the 2021-2022 Term

Applications are currently being accepted to fill five positions on the committee, two physician positions (M.D. or D.O.) and three pharmacist positions. The Pharmacy & Therapeutics Committee advises the DWC Administrative Director on updates and improvements to the drug formulary which is part of the Medical Treatment Utilization Schedule. The Administrative Director appoints members of the committee pursuant to Labor Code section 5307.29. The committee meets quarterly and members serve a two-year term. Committee members serve as volunteers without compensation, and are reimbursed for some travel expenses.

The formulary regulations (title 8, Cal. Code Regs. §§9792.27.18 – 9792.27.23) set forth a description of the role of the Committee and the qualifications to serve.

Please submit your application, conflict of interest disclosure form and any supporting documentation by Friday, February 5, 2021, to:

Attn: P&T Committee
Department of Industrial Relations
Division of Workers’ Compensation
Administrative Director
P.O. Box 70823
Oakland, CA 94612

Questions about the application process can be emailed to formulary@dir.ca.gov with the subject line “P&T Application Question.”

Contact us

The DWC welcomes public comment on the MTUS Formulary and Drug List.  Do you have suggestions regarding the exempt, non-exempt, special fill or peri-operative fill status of a medication? Injured workers, physicians, pharmacists, and others may submit their questions, comments, and suggestions to the DWC formulary email box at formulary@dir.ca.gov.

Reports

Resources

What's New

December 2020