Welcome to the new jersey drug utilization review (njdur) website this site has been created to assist health care providers obtain information about the state's medical exception program (mep. Humana drug utilization reviews and resources in the interest of member safety and health, humana periodically reviews members’ drug utilization as indicated by prescription claims data these reviews are guided by health care standards published by. A drug utilization review revealed that among elderly americans, 29% used at least five prescription drugs concurrently, 46% used over-the-counter (otc) drugs, and 52% used dietary supplements in addition to prescription drugs among the multiple medication users, approximately 1 in 25 had a concern about potential major drug interactions. Drug utilization review (dur) provides health plans with internal controls to ensure their members receive prescription drug therapy that is safe, medically necessary, and cost-effective our consultants develop, implement, and support dur plans for state medicaid plans and managed care organizations across the us.
The retrospective drug utilization review program in louisiana is called ladur the program, through a contract with the fiscal intermediary, unisys, administers ladur as a component of its drug utilization review (dur) system. Dur: about the dur program drug use review (dur) was a term used in the early days of clinical pharmacy to represent any effort to review a patient's drug therapy in order to improve care. The nc medicaid drug utilization review (dur) program for outpatient drugs ensures medicaid recipients receive appropriate, medically necessary prescriptions that are unlikely to result in adverse medical events nc dur board meetings are held quarterly in the following location.
The medicaid drug utilization review (dur) program promotes patient safety through state-administered drug utilization management tools and systems medicaid dur is a 2-phase process that is conducted by medicaid state agencies. The texas drug utilization review board meets quarterly to develop criteria and standards impacting texas medicaid, including: developing and submitting recommendations for the texas medicaid preferred drug list suggesting clinical prior authorizations on outpatient prescription drugs recommending educational interventions for medicaid providers. Old business: report on health and human services commission decisions on acceptance of the drug utilization review (dur) board recommendations from the january 26, 2018, meeting new business: public comment on drug classes and therapeutic and clinical drug reviews to be reviewed for the medicaid preferred drug list (pdl). Washington prescription drug program (wpdp) how we work partners tracking success within a class of drugs and make recommendations to the state on the development of the washington state preferred drug list the committee also serve as the medicaid drug utilization review (dur) board as required by federal law p&t committee/medicaid dur.
Drug utilization review (dur) is defined as the marketing, distribution, prescription, and use of medicines in a society, with special emphasis on the resulting medical, social and economic consequences [1. See activities of the maryland medicaid pharmacy program drug utilization review (dur) and view information from the centers for medicare and medicaid services (cms) on other state medicaid dur programs around the country. The improving drug utilization review controls in part d website contains information to help part d sponsors create or change their programs to address the unsafe use of opioid pain medications this website also contains cms communications to part d sponsors regarding.
Administered for the masshealth pharmacy program - 1 - masshealth drug utilization review program commonwealth medicine university of massachusetts medical school. We evaluated a retrospective drug utilization review program to reduce controlled substance use among individuals with high-risk utilization methods we analyzed pharmacy claims from a large pharmaceutical benefits manager. Drug utilization review board the board promotes patient safety through an increased review and awareness of outpatient prescribed drugs it recommends medical criteria, standards and educational intervention methods used in the dur program.
Drug utilization review board the drug utilization board (dur board) reviews and approves drug use criteria and standards for both prospective and retrospective drug use reviews it applies these criteria and standards in the application of dur activities, reviews and reports the results of the drug use reviews, and recommends and evaluates the. Drug utilization review page content federal regulations at 42 cfr § 456703 - 456725 require that medicaid pharmacy programs establish and maintain a drug utilization review (dur) program that helps to ensure appropriate drug utilization by conducting prospective and retrospective drug utilization review, and maintaining an educational. Michigan medicaid drug utilization review 2010 annual report it is through these efforts michigan continues to provide safe and effective treatment of citizens served by the medicaid program.
The drug utilization review requirements of this section when facilities use drug formulary systems and bill the medicaid program no more than the hospital’s purchasing cost for such covered outpatient drugs. Louisiana medicaid drug utilization review (ladur) program to collaborate with managed care organizations (mcos) on drug utilization initiatives this project is in response to a rule issued by centers for medicare and medicaid services (cms. Drug utilization review program - chapter 7, 2018 unitedhealthcare administrative guide we conduct drug utilization reviews to help ensure members are getting safe and appropriate care these reviews are especially important for members who have more than one doctor prescribing their medications.