Multiple Companies Recall Ranitidine Hydrochloride Due to Contamination
Back in September, Sandoz Inc. voluntarily recalled all quantities and lots within expiry of ranitidine hydrochloride capsules because of confirmed contamination with N-Nitrosodimethylamine (NDMA), a probable human carcinogen, above levels established by the FDA.
Ranitidine hydrochloride capsules are indicated for the treatment of duodenal ulcer, benign ulcer, reflux esophagitis, post-operative peptic ulcer, Zollinger-Ellison Syndrome, and other conditions where reduction of gastric secretion and acid output is desirable.
Relevant to workers’ comp, patients taking opioid pain medications may experience gastrointestinal side effects, requiring a gastrointestinal agent and potentially being prescribed ranitidine hydrochloride.
While this initial recall from Sandoz impacted 14 lots ranging from 30-500 count bottles, more recalls have since been initiated in October.
Sanofi has issued a recall for all Zantac OTC (ranitidine hydrochloride) in the U.S., Perrigo is recalling all ranitidine hydrochloride worldwide, and Dr. Reddy’s is recalling ranitidine hydrochloride nationwide. All of these recalls are based around similar concerns of contamination surrounding NDMA.
Tags: FDA, recall, ranitidine hydrochloride, ranitidine, contamination, gastrointestinal, GI
Clearing the Air: Marijuana Considerations for Workers’ Comp
Public support for marijuana is at an all-time high. What does this mean for workers’ comp?
Healthesystems has published a new white paper that explores when marijuana could appear in a claim, how legislation dictates marijuana use, what the clinical science has to say, workplace safety points to consider, and the role PBMs can play.
Tags: marijuana, medical marijuana, white paper, Healthesystems
California Gig Law to Reclassify Contractors as Employees
California Assembly Bill 5 has been enacted into law, establishing a test to clarify if a worker should be classified as an independent contractor or an employee entitled to benefits such as minimum wage, health insurance, and workers’ comp.
Reflecting sentiments expressed in Dynamex Operations West, Inc. v Superior Court of Los Angeles (2018), a recent California Supreme Court case, the bill codifies the “ABC” test which establishes that a person providing labor or services for remuneration shall be considered an employee rather than an independent contractor, unless the hiring entity demonstrates that all of the following conditions are satisfied:
This law is expected to reclassify a significant number of gig positions in the state to employee positions, and with this change would come great financial ramifications. The California Department of Industrial Relations claims that employee misclassification was responsible for $7 billion in lost payroll tax revenue to the state.
Some have argued that this law could eviscerate the gig economy as it impacts companies like Uber, Lyft, Postmates, Amazon and DoorDash. But while the impact of this law is expected to be large, it excludes various professions, including physicians and other licensed medical professionals, attorneys, financial planners, brokers and accountants, insurance agents, realtors, hairstylists, freelance writers and even some owner/operator truckers.
Tags: gig economy, contractor, independent contractor, employee, employee misclassification, California, ABC test, benefits
Healthesystems at NWCDC 2019
Healthesystems will be attending and exhibiting at NWCDC 2019, the largest annual conference in the workers’ comp industry, and we invite you to join us in Las Vegas for various educational opportunities.
Come learn how Healthesystems is transforming healthcare with our pharmacy and ancillary benefits management programs. Conference attendees can also pick up a copy of RxInformer clinical journal. The new, Winter 2019/2020 edition is a special pricing issue with articles and infographics that cover hot topics such as:
Healthesystems’ VP of Clinical Services, Silvia Sacalis, BS, PharmD, will cohost Medical and Pharmacy Insights for a Successful Return to Work with The Hartford’s Chief Medical Officer, Adam Seidner, MD, MPH.
This educational presentation will discuss policies and procedures that can help employers and providers make safe return-to-work recommendations for injured workers. Drs. Sacalis and Seidner will go over accessing analytic tools and developing programs for evaluating fitness-for-duty and navigating prescription medications to avoid negatively impacting functional abilities.
The presentation will take place at 3:00 PM on Thursday, November 7th in the South Pacific F room.
Healthesystems is teaming with Risk & Insurance magazine to conduct an industry insights survey. Workers’ comp professionals are invited to visit booth #1025 to answer questions and engage in discussion with Risk & Insurance editors surrounding their biggest industry concerns, challenges and successes.
Upon completion and analysis of the results, Healthesystems will publish its annual industry insights survey in early 2020.
Tags: Healthesystems, NWCDC, NWCDC 2019, RxInformer, educational presentation, panel, Silvia Sacalis, survey, industry insights survey, Risk & Insurance