Drug utilization review program
(e) (1) the dur program includes prospective review of drug therapy at the point of sale or point of distribution before each prescription is filled or delivered to the medicaid recipient. The texas drug utilization review (dur) board meets quarterly to develop criteria and standards impacting texas medicaid, including:. Administered for the masshealth pharmacy program - 1 - masshealth drug utilization review program commonwealth medicine university of massachusetts medical school.
Plans and facilitates meetings of the arkansas drug utilization review board and incorporation of this board's advice into program policy works. Adurs (american drug utilization review society) february 21-23, 2013 scottsdale, arizona representatives present from 40 state medicaid programs. Oregon state drug review newsletter ohp preferred drug list college of pharmacy oregon state university corvallis, or 97331 phone: 5417373424 fax: 5417373999. I preface this manual h as been written as a practical guide for implementing a basic drug utilization review (dur ) program in a hospital setting.
The drug utilization review (dur) board selects specific drug entities or therapeutic classes to be targeted for provider and recipient educational interventions, and provides guidelines for their use. 12vac30-10-650 drug utilization review program a 1 the medicaid agency meets the requirements of § 1927(g) of the act for a drug use review (dur) program for outpatient drug claims. The pbhmi pa form was created to assist prescribers with requests submitted to the masshealth drug utilization review (dur) program if you have questions about a specific patient or claim affected by the masshealth pediatric behavioral health medication initiative (pbhmi), please contact the drug. Drug utilization review (dur) meeting agendas and summaries - 2018.
Michigan medicaid drug utilization review 2010 annual report i program background and history the medicaid drug utilization review (dur) program was created by the. The most advanced drug utilization review program in the industry- ans pharmacotherapy review is proven to improve the quality of care for injured workers.
Drug utilization review drug utilization cms continues to propose significant medicare part d program changes introduction to drug utilization research. Providing information for the maryland medicaid pharmacy program. The improving drug utilization review controls in part d website contains information to help part d sponsors compliance program guidelines.
What are drug utilization reviews also referred to as drug utilization evaluations (due) or are defined as an authorized, structured, ongoing review of. The medicaid drug utilization review (dur) program promotes patient safety through state-administered utilization management tools and systems that interface with cms’ medicaid management information systems (mmis).
If you are interested in the statewide drug utilization review program for medicaid ensuring drug therapy is appropriate, necessary and safe while allowing adequate professional discretion and advising hhsc on the operation of a statewide medicaid preferred drug list based on drugs’ efficacy, clinical significance, cost effectiveness and. La medicaid dur program march 13, 2018 page 2 educational drug utilization review educational dur provides educational alerts at pos and a series of educational articles. Maryland medicaid pharmacy program drug utilization review dur board code of conduct for pharmaceutical industry drug utilization review board minutes.Get file