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Drug utilization review (dur) since 1993, section 1927 (g) 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 state’s medicaid program. Prospective drug use review (dur) is performed electronically at the time a drug is dispensed to a patient Drug utilization review (dur) is defined as an authorized, structured, ongoing review of prescribing, dispensing and use of medication

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Dur encompasses a drug review against predetermined criteria that results in changes to drug therapy when these criteria are not met. Drug utilization review (dur) assistance is available to assist state medicaid agencies in developing, enhancing, implementing, and evaluating regulations and programs to ensure appropriate drug therapy and streamline fraud, misuse and abuse. A drug utilization review (dur) is a systematic examination of prescription drug use patterns and patient medication histories to ensure the appropriate and safe use of medications.

Dur first appeared with the omnibus budget reconciliation act of 1990 (obra ’90)

Reduce medicaid fraud and ensure that patients receive appropriate medications. A drug utilization review (dur) is a program designed to enhance the safety and effectiveness of prescription drug use These reviews include studies conducted on drugs prior to their commercial release and public use, as well as ongoing studies after they are prescribed to patients. Drug utilization review programs help to ensure that prescriptions for outpatient drugs are appropriate, medically necessary, and not likely to result in adverse medical consequences.

It can also be considered a formulary system management technique.

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