Indiana Code 12-15-35-13. “Prospective DUR” defined
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Sec. 13. As used in this chapter, “prospective DUR” means the part of the drug utilization review program that:
(2) is designed to screen for potential drug therapy problems based on explicit and predetermined criteria and standards that are developed on an ongoing basis with professional input; and
(1) is to occur before the drug is dispensed;
Terms Used In Indiana Code 12-15-35-13
- counseling: means the activities conducted by a pharmacist to inform Medicaid recipients about the proper use of drugs as required by the board under this chapter. See Indiana Code 12-15-35-4
- criteria: means the predetermined and explicitly accepted elements that are used to measure drug use on an ongoing basis to determine if the use is appropriate, medically necessary, and not likely to result in adverse medical outcomes. See Indiana Code 12-15-35-5
- standards: means the acceptable range of deviation from the criteria that reflects local medical practice and that is tested on the Medicaid recipient database. See Indiana Code 12-15-35-15
(3) is to provide for the counseling of recipients about the proper use of drugs.
As added by P.L.75-1992, SEC.19.