drug utilization review


Also found in: Acronyms.

drug utilization review

an authorized, structured, ongoing program that collects, analyzes, and interprets drug use patterns to improve the quality of pharmacotherapy and patient outcomes.

drug utilization review

Health insurance A study of drug prescriptions to evaluate appropriateness and cost-effectiveness of drug therapy

drug use re·view

(drŭg yūs rĕ-vyū')
An authorized, structured, ongoing program that collects, analyzes, and interprets drug use patterns to improve the quality of drug use and patient outcomes.
Synonym(s): clinical drug trial, drug use evaluation, drug utilization review.
References in periodicals archive ?
New Jersey Drug Utilization Review Council ST: New Jersey, New York IN: HEA SU:
A retrospective drug utilization review process takes place after medications are filled.
Benefits typically include access to network discounts, a national network of pharmacies, and other comprehensive programs such as mail order and drug utilization review.
ACS has also provided MO HealthNet with Retrospective Drug Utilization review and academic detailing programs that have enabled the state to save more than $10 million.
ACS will also provide Retrospective Drug Utilization Review and federal reporting services using CyberFormance(SM), a fourth component of ACS' EHR suite of web tools.
Your pharmacy provider's wholesaler can help reduce your professional liability via solutions such as inventory management systems with automated order checks; unit-of-use medications that are prepared in their final dosage and usage forms; coordination of payer authorization; and drug utilization review (DUR) and drug use evaluation (DUE) services.
StoneRiver Pharmacy Solutions transmits an immediate, real-time alert to Progressive Medical, which then reviews the prescriptions for eligibility and applies drug utilization review edits.
The Company's integrated pharmacy benefit management services, marketed under the name Catalyst Rx, include: claims processing, mail order services, benefit design consultation, drug utilization review, formulary management and drug data analysis services.
Sixty-eight percent of respondents also use retrospective Drug Utilization Reviews (up from 55 percent in 2004).
In order to receive these subsidies, a PDP sponsor must go through a rigorous, six-month application process and provide several requirements, including access to negotiated drugs prices, a contracted retail pharmacy network for consumers, outreach activities consistent with CMS standards, quality assurance operations, and drug utilization reviews.
The Drug Committee has contained this increase by use of a formulary, often with restrictions exceeding those of PBS; improved stock control; and drug utilization reviews.
Skyrocketing pharmacy costs are impacting settlements, and Drug Utilization Reviews are not enough to receive CMS approval for drug costs," said Rob Sokol, director of Medicare Secondary Payer Compliance for Allsup.