Guidelines for Retrospective Drug Utilization Review Sample Clauses

Guidelines for Retrospective Drug Utilization Review. (Retrospective DUR) 3.5.9.8.3.1 The Contractor’s Retrospective DUR shall comply with the following requirements: 3.5.9.8.3.1.1 Establish and maintain Retrospective DUR exception criteria; 3.5.9.8.3.1.2 Conduct drug criteria interrogation and generate review of member and participating provider profiles; 3.5.9.8.3.1.3 Develop case tracking system and project reports; 3.5.9.8.3.1.4 Implement educational intervention program; 3.
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