BWC’s pharmacy benefits program covers outpatient medications prescribed to treat conditions related to an injured worker’s state-fund, black lung and Marine Industrial Fund claim. Under BWC’s program, pharmacists can submit most drug bills directly to BWC at the point of service through BWC’s pharmacy benefit manager (PBM), SXC Health Solutions. As soon as an injury occurs, even before BWC assigns a claim number the pharmacist can submit a drug bill to BWC.

Pharmacy benefits program fact sheet

Pharmacy Bulletin - August 2008

To learn more, click on one of the topics listed below.

• Bill submission for new claims
• Bill submission for existing claims
• Prior authorization program requirements
• Generic drug requirements
• Covered and non-covered items
• Forms
• Contacts
• Rules
• Resources

Note: This program does not apply to self-insured claims. If you have questions related to a self-insured claim, please contact the employer, or call 1-800-OHIOBWC for assistance.