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Department of Labor: Division of Industrial Affairs >> Office of Workers' Compensation

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Use the formulary below only for NSAID analgesics, opiod analagesics, skeletal muscle relaxants. Physicians are encouraged to prescribe generic drugs. If the physician feels it is medically necessary to prescribe a non- preferred drug and there is no generic equivalent then it can be done without prior authorization. Please note that the Reference Trade Name listed below is used only as an example of the generic drug.

The use of sustained release/controlled release medication may be used when a continuous around-the-clock analgesic is needed for moderate to severe pain requiring treatment for an extended period of time.

Pharmacy Formulary
Last Updated: 4/5/2024
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