Drug Utilization Review Template

The medicaid drug utilization review dur program is a 2 phase process conducted by medicaid state agencies.

Drug utilization review template. The first phase is a prospective dur and involves electronically monitoring prescription drug claims to identify prescription related problems such as therapeutic duplication contraindications incorrect dosage or duration of treatment. Computer software programs including proprietary may be helpful in managing data and reporting. However such studies do not provide detail about the. Drug utilization review can be defined as review of drugs used in a population a state a country an age group or subscribers of a health insurance plan to determine effectiveness potential dangers problems with drug interaction and other issues.

Drug utilization evaluation. There are drug utilization review boards that are private and might work for health insurance or pharmacy companies. Criteria for drug use evaluation volumes 14 pro vide medication specific criteria that may be adapted for local use. Since 1993 section 1927g of the act has required each state to develop a dur program targeted in part at reducing clinical abuse and misuse of outpatient prescription drugs covered under the states medicaid program.

Drug use evaluation is an ongoing authorized and systematic quality improvement process which is designed to. Drug review panels may be focused on a particular specialty such as cardiology or infectious disease and review drug products and guidelines in their area. Drug utilization review dur is a federal requirementthe drug utilization review dur program fulfills this requirement by looking at patterns of prescription drug use and performing. 65 drug use evaluation due drug utilization review drug use studies using aggregate data or health facility indicators may indicate that there is over or under consumption of medicines and qualitative studies may indicate why certain health staff and patients behave the way they do.

What are drug utilization reviews dur drug utilization reviews dur also referred to as drug utilization evaluations due or medication utilization evaluations mue are defined as an authorized structured ongoing review of healthcare provider prescribing pharmacist dispensing and patient use of medication. Managing medication use. Introduction to hospital and health system pharmacy practice 63 tion of future events.