Risk-Tex, Volume 3, Issue 1, June 2000 Page: 3
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S ORM has partnered with
ScripNet through its cost con-
tainment vendor, Argus
Services Corp., to provide workers'
compensation pharmacy benefit
management services to its covered
employees. This means more con-
venience and accessibility for
injured workers as well as cost sav-
ings for the State of Texas. The new
prescription cards should be in the
mail to claimants in May 2000.
Today, pharmacy costs make up
between 8 percent and 10 percent of
the total medical bill for industrial
injuries. ScripNet will bring cost
containment to the pharmacy portion
of the total medical costs realized by
a work-related injury while provid-
ing an enhanced level of care to the
injured worker.
The ScripNet pharmacy program
brings SORM's claimants:
Hassle-free coverage for first pre-
scriptions;
Wide network of participating
pharmacies - more than 42,000;
Formulary protection;
Electronic claims adjudication;
Help desk - open seven days a
week;
Customized utilization and man-
agement reports;
Convenient electronic billing; and
Substantial cost savings.
First Prescription Coverage
Sometimes the most important
prescriptions that an injured worker
receives are on the day of the injury.Therefore, ScripNet goes at risk for
these first fills and guarantees pay-
ment to network pharmacies even if
the claim is later found to be non-
compensable by SORM.
This feature of the ScripNet pro-
gram ensures that injured workers
get the pharma-
ceuticals they
need, when they
need them, to
begin the recov-
SCR PNET ery and return-to-
work process as
early as possible. Often, adjusters at
SORM will first learn from ScripNet
that there is a possible new claim
pending.
Wide Network of Pharmacies
The ScripNet network is open and
non-restrictive. Currently, ScripNet
contracts with more than 42,000
pharmacies across the nation. In
Texas, there are 3,106 pharmacies,
ranging from large chains, like
Longs, Kmart, Wal-Mart, and Target,
to small, independent drug stores
participating in the network. This
ensures that your employees can find
a convenient participating pharmacy
near their home or work. If an
injured worker should find that the
pharmacy he or she prefers is not on
the network, ScripNet will contact
that pharmacy and make every
attempt to contract with it.
The ScripNet pharmacy network
includes a convenient mail order
component for those injured workerswho need maintenance prescriptions.
Unlike other mail order plans that
require 1wo weeks or more for deliv-
ery, the ScripNet plan delivers need-
ed pharmaceuticals in two business
days.
The pharmacy directory can be
accessed on the SORM web site at
www.sorm.state.tx.us/pharmacy.
htm. If you're interested in the mail
order plan, call ScripNet at (888)
880-8562 and a ScripNet representa-
tive will walk you through the
process.
Help Desk - Seven Days a Week
ScripNet maintains a Help Desk
seven cays a week staffed with
trained personnel ready to answer
questions from pharmacists, claims
adjusters, and even injured workers
looking for a network pharmacy in
their neighborhood. ScripNet's med-
ical directors can also be reached at
the toll-free number (888-880-8562).
Formulary Protection
ScripNet has developed a cus-
tomized formulary for SORM to
ensure that injured workers with
acceptec claims receive prescrip-
tions that are appropriate. The for-
mulary screens for multiple prescrip-
tions in the same pharmaceutical
class, duplicate prescriptions, too
soon refills, and controlled sub-
stances.
By way of the formulary, pharma-
cists substitute generic pharmaceuti-
(Continued on page 4)R1S K*T EX Volume III, Issue 1 3
A win-win situation
Partnership with ScripNet brings
convenience for claimants, savings for agenciesFor a list of pharmacies, go to www.sorm.state.tx.us/pharmacy.htm
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Texas. State Office of Risk Management. Risk-Tex, Volume 3, Issue 1, June 2000, periodical, June 2000; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1589448/m1/3/?q=Lamar+University: accessed June 7, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.