A. A contractor shall intervene if a member has ten or more prescriptions for controlled substances within a three-month period.

Terms Used In Arizona Laws 36-2903.10

  • Contractor: means a person or entity that has a prepaid capitated contract with the administration pursuant to section 36-2904 or chapter 34 of this title to provide health care to members under this article or persons under chapter 34 of this title either directly or through subcontracts with providers. See Arizona Laws 36-2901
  • Director: means the director of the Arizona health care cost containment system administration. See Arizona Laws 36-2901
  • Member: means an eligible person who enrolls in the system. See Arizona Laws 36-2901
  • System: means the Arizona health care cost containment system established by this article. See Arizona Laws 36-2901

B. A contractor shall monitor prescriptions that are filled by members and shall intervene with both the prescriber and the member when excessive amounts of controlled substances are used. The contractor shall direct cases involving excessive controlled substance use to the system medical director for review.

 

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