De La Torre, Maria

The WCAB granted reconsideration of a WCJ's decision that disallowed Greywell Pharmacy's $51,265.83 lien for medications dispensed December 2015 through November 2016. The WCJ had found the pharmacy failed to prove the medications were reasonable and necessary, relying partly on a 2013 QME report expressing concern about the applicant's medication regimen. The Board found the WCJ erred by inappropriately relying on a QME report from 2013 that predated the disputed treatment by over two years and addressed different medications. The Board deferred final decision pending further review, noting the QME report was not substantial medical evidence regarding the specific medications at issue, though the prescribing physician's reports were also deficient in documenting medical necessity.