Medication Safety Program

Proactive Opioid Management Saves $1.4M

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Company's Relationship with 2020

Genex’s Medication Safety Program empowers employers and workers’ compensation payers to balance drug price and utilization, identify high-risk cases, ensure only approved, appropriate drugs are dispensed, and proactively reduce narcotic addiction. In this case, Genex reduced claimant’s medication dependency by more than 50%.

Industry: Manufacturing

Total Surgeries: 17

Starting Number of Medications: 17



After working 60+ hour weeks using air sanders, drills, and other vibration­al tools, injured worker had numbness and pain in both hands and wrists that went to both shoulders and upper extremities. The injured worker underwent 17 surgeries over nine years and ended up taking 17 medications.

A peer-to-peer review revealed three major issues:

  • An underlying overuse injury that caused pain to both hands and wrists
  • Significant psychiatric issues, ranging from severe depression to suicidal thoughts, despite extensive psychotherapy and cognitive behavioral therapy
  • A clear need for inpatient detox or a similar program that included an outpatient program with a strong psychological/psychiatric follow-up plan


Based on the review, 17 medications were reduced to seven. The injured worker signed an opioid treatment agreement, and underwent random urine drug monitoring at least twice a year.


Injured worker has significantly reduced dependency on opioids resulting in $44,206 annual savings.