Pharmacy Review

About Pharmacy Review…

Also known as Drug Utilization Review (DUR), this process dives deep into the analysis of the overall prescribing, administrating, and use of pharmaceuticals to a patient. Whether this be an individual service or a combined service with your bill review claim, it well be handled with facile. Cost Containment Solutions handles all three aspects of DUR for clients which are as follows.

Prospective DUR

This service focuses on the evaluation of a patient’s drug therapy before medication is distributed. Education to prescribes and member on benefits are important for this step to become more common before further action and review is ever required.

Concurrent DUR

Concurrent DUR occurs as an ongoing evaluation throughout a course of treatment that a patient is prescribed. Keeping a close eye on potential drug interaction and lack of drug compliance is extremely important to take into account and to address any issues before they become a serious problem. Our peer review panel will review the drug treatment plan and correct any issues and prevent any short-term or long-term problems.

Retrospective DUR

This DUR service is a review of a patient’s drug history after medication has already been received and a treatment plan has completed its course. Evaluations must be performed by the peer review panel and includes, but not limited to the following:

  • Over & Under Utilization
  • Appropriate Use of Generic Products
  • Drug-disease Contraindications
  • Drug-drug Interactions
  • Inappropriate Duration of Treatment
  • Incorrect Drug Dosage
  • Clinical Abuse/Misuse
  • Therapeutic Appropriateness and/or Duplication
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