Home/Case Law/SAMANTHA SILVA vs. HILMAR CHEESE, SAFETY NATIONAL INSURANCE
Regular DecisionRegular Panel Decision

SAMANTHA SILVA vs. HILMAR CHEESE, SAFETY NATIONAL INSURANCE

Filed: May 28, 2019
Stockton
ADJ10127986

CompFox AI Summary

This case concerns the compensability of Voltaren gel prescribed for the applicant's bilateral hand, wrist, and trigger finger injuries. The Workers' Compensation Appeals Board granted reconsideration, rescinding the original findings. The Board found that the critical issue was whether the generic equivalent of Voltaren gel was exempt from utilization review (UR), not solely the brand name's formulary status. The matter was returned for further proceedings to clarify the issues and for a new decision on the eligibility of the generic Voltaren gel.

Full Decision Text1 Pages

This case concerns the compensability of Voltaren gel prescribed for the applicant's bilateral hand, wrist, and trigger finger injuries. The Workers' Compensation Appeals Board granted reconsideration, rescinding the original findings. The Board found that the critical issue was whether the generic equivalent of Voltaren gel was exempt from utilization review (UR), not solely the brand name's formulary status. The matter was returned for further proceedings to clarify the issues and for a new decision on the eligibility of the generic Voltaren gel.

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SAMANTHA SILVA vs. HILMAR CHEESE, SAFETY NATIONAL INSURANCE (2019) – Stockton | CompFox