Pharmacy Fee Schedule

Office of Workers' Compensation Programs (OWCP)

Division of Federal Employees' Compensation (DFEC) Pharmacy Fee Schedule Update
Effective September 1, 2015, the Office of Workers' Compensation Programs (OWCP) Division of Federal Employees' Compensation (DFEC) will be implementing changes to the calculation of the maximum allowable fee for brand name prescription drugs.

OWCP had previously announced the following change to the Division of Federal Employees' Compensation (DFEC) Pharmacy Fee Schedule Update:

The maximum allowable fee for brand name drugs will be calculated at 85% of the average wholesale price (AWP - 15%) plus a $4.00 dispensing fee. The maximum allowable fee for generic drugs and non-drug items is not changing and is calculated at 70% of the average wholesale price (AWP - 30%) plus a $4.00 dispensing fee. The effective date was August 1, 2015. The OWCP has delayed the implementation due to technical difficulties. The new effective date for this change is September 1, 2015.