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Good Morning
2:39:06 AM CDT
Wednesday, April 16, 2014

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Pharmacy Benefit Management

Topics First Fill Program Forms & Publications Service Guide for Pharmacists
Pharmacy Overview Sign Up Process Prior Authorization Form (M3) Quick Reference Sheet
US Script Pharmacy Fee Schedule Formulary/Product Resrictions Brand Medication Prior Authorization Form (P2)
Plan Benefits Generic Dispensing Drug Quantity Limits Relistor Prior Authorization Form (P3)
Plan Design First Fill Product Restrictions DAW1 Policy Statement
    Sample Narcotic Contract  

Pharmacy Services Overview
Workforce Safety & Insurance (WSI) has contracted with US Script, a national pharmacy benefit management company, to process pharmacy charges. Our partnership with US Script allows WSI to provide North Dakota's injured workers pharmacy benefits while providing a more efficient process for the pharmacies.

A flexible plan design has allowed WSI to incorporate many industry standards as well as provide for the unique requirements of workers' compensation.

All outpatient prescriptions must be submitted electronically to our pharmacy benefit management provider, US Script. WSI does not directly reimburse injured workers for medications.

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