Drug Utilization Review (DUR) is designed to
improve the quality of pharmaceutical care by
ensuring that prescriptions are appropriate,
medically necessary and unlikely to result in
adverse medical outcomes. Medicaid’s DUR program
includes prospective, online and retrospective
review as well as use of standards developed by
the National Council for Prescription Drug
Programs (NCPDP). A board comprised of
physicians and pharmacists provides guidance to
Agency staff.
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