Prescription drug utilization management definition

Prescription drug utilization management means a set of formal techniques used by a health carrier or prescription drug utilization management entity, that are designed to monitor the use of or evaluate the medical necessity, appropriateness, efficacy, or efficiency of prescription drugs including, but not limited to, prior authorization and step therapy protocols.
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Prescription drug utilization management means a set of formal techniques used by a health carrier or review organization, that are designed to monitor the use of or evaluate the medical necessity, appropriateness, efficacy, or efficiency of prescription drugs including, but not limited to, prior authorization and step therapy protocol.
Sample 1
Prescription drug utilization management means a set of
Sample 1

Examples of Prescription drug utilization management in a sentence

  • WSR 15-24-074 (Matter No. R 2014-13), §284-43-420, filed 11/25/15, effective 7/1/16.] WAC 284-43-2021 Prescription drug utilization management excep- tion and substitution process.

  • WSR 15-24-074 (Matter No. R 2014-13), § 284-43-420, filed 11/25/15, effective 7/1/16.] NEW SECTION WAC 284-43-2021 Prescription drug utilization management exception and substitution process.

  • Prescription drug utilization management programs, the City argues, are commonplace and the programs at issue do not change the benefits set forth in the collective bargaining agreements.

Related to Prescription drug utilization management

  • Prescription drug means any drug required by federal law or regulation to be dispensed only

  • Utilization management section means “you or your authorized representative.” Your representative will also receive all notices and benefit determinations.

  • Medical evaluation means the process of assessing an individual's health status that includes a medical history and a physical examination of an individual conducted by a licensed medical practitioner operating within the scope of his license.

  • Independent educational evaluation means an evaluation conducted by a qualified examiner who is not employed by the public agency responsible for the education of the child in question.

  • Project Management Plan means the portion of the Project Development Plan providing the information requested in Section 4.2 of Exhibit B to the ITP.

  • Safety Management System means a systematic approach to managing safety, including the necessary organisational structures, accountabilities, policies and procedures;