Search:
Weekly Caselaw Updates

Sign up here to receive a weekly email with summaries of every precedential case out of the Third Circuit and the appellate courts in Pennsylvania and New Jersey. No fluff. No filler. No fee.

Keystone RX LLC v. Bureau of Workers’ Comp. Fee Review Hearing Office

Pennsylvania Supreme Court

December 22, 2021

The Pennsylvania Supreme Court affirmed the Commonwealth Court’s order that held that a pharmacy cannot challenge a utilization review determination that medications prescribed by a treating healthcare provider, but dispensed by the pharmacy, were unreasonable and unnecessary. The Commonwealth Court had affirmed the Hearing Officer’s order, but the Court went further and held that, prospectively, in utilization review (“UR”) hearings when an employer, insurer or an employee requests UR, non-treating providers, such as pharmacies, must be afforded notice and an opportunity to establish their right to intervene in the UR proceedings. The Supreme Court affirmed the Commonwealth Court’s order affirming the Hearing Officer’s order, but wrote specifically to reject its prospective procedural ruling.

Scroll down to read the court's full opinion
IF YOU HAVE ANY OF THESE

Heavy Workload

Heavy Workload

 Vacation

Vacation

 Other<br />Personal<br />Commitments

Other
Personal
Commitments

Hiring Attorney Contact Us
Sullivan Simon
Attorneys with 20+ years of litigation experience.

requests basic information
about case
Within 24 hours,

flat-fee quote

Delivers Final
Product
  • On Time
  • On Budget
  • Ready to File