Exam 1 – Drug Utilization Management
Exam 1&–
Cost
Drug
Control
Utilization
Strategies
Management
_Exam
Study1Guide.pdf
&–
Cost
Drug
Control
Utilization
Strategies
Management
_ Study Guide.pdf
& Cost Control Strategies _ Study Guide.pdf
Exam 1 – Drug
Utilization
Management &
Cost Control
Strategies | Study
Guide
Exam 1 – Drug Utilization Management
Exam 1&–
Cost
Drug
Control
Utilization
Strategies
Management
_Exam
Study1Guide.pdf
&–
Cost
Drug
Control
Utilization
Strategies
Management
_ Study Guide.pdf
& Cost Control Strategies _ Study Guide.pdf
, Exam 1 - Drug Utilization management and cost control strategies.pdf Exam 1 - Drug Utilization management and cost control strategies.pdf Exam 1 - Drug Utilization management and cost control strategies.pdf
Utilization controls also called utilization management
- strategies intended to influence appropriate utilization of services are included in
medical and prescription benefit programs.
- rationale - appropriate care is the best and least costly approach to managing
patient health.
Drug Utilization Control management services these include
- DUR
- Formularies/ formulary systems
- prior approvals
- treatment algorithms
- disease management
- drug product selection ( DPS)
( generic subs and therapeutic interchange. )
DUR or DUE ongoing program for assessing the appropriateness of drug therapy by evaluating
data on drugs use against some standards or predetermined criteria.
- review prescribing, dispending, and or patient use of medication.
- DUR may consider clinical appropriateness, cost effectiveness and / or desired
outcomes.
- also many other names for it.
what is retrospective DUR Review of drug therapy performed after the drug is dispensed.
- common issues addressed in retrospective DUR include : Therapeutic
appropriateness, over and underutilization, appropriate generic use, clinical abuse/
misuse, therapeutic duplications, incorrect drug dosage, duration, and interactions.
ex. - PT with asthma and whether they are using controller meds
Exam 1 - Drug Utilization management and cost control strategies.pdf Exam 1 - Drug Utilization management and cost control strategies.pdf Exam 1 - Drug Utilization management and cost control strategies.pdf
Exam 1&–
Cost
Drug
Control
Utilization
Strategies
Management
_Exam
Study1Guide.pdf
&–
Cost
Drug
Control
Utilization
Strategies
Management
_ Study Guide.pdf
& Cost Control Strategies _ Study Guide.pdf
Exam 1 – Drug
Utilization
Management &
Cost Control
Strategies | Study
Guide
Exam 1 – Drug Utilization Management
Exam 1&–
Cost
Drug
Control
Utilization
Strategies
Management
_Exam
Study1Guide.pdf
&–
Cost
Drug
Control
Utilization
Strategies
Management
_ Study Guide.pdf
& Cost Control Strategies _ Study Guide.pdf
, Exam 1 - Drug Utilization management and cost control strategies.pdf Exam 1 - Drug Utilization management and cost control strategies.pdf Exam 1 - Drug Utilization management and cost control strategies.pdf
Utilization controls also called utilization management
- strategies intended to influence appropriate utilization of services are included in
medical and prescription benefit programs.
- rationale - appropriate care is the best and least costly approach to managing
patient health.
Drug Utilization Control management services these include
- DUR
- Formularies/ formulary systems
- prior approvals
- treatment algorithms
- disease management
- drug product selection ( DPS)
( generic subs and therapeutic interchange. )
DUR or DUE ongoing program for assessing the appropriateness of drug therapy by evaluating
data on drugs use against some standards or predetermined criteria.
- review prescribing, dispending, and or patient use of medication.
- DUR may consider clinical appropriateness, cost effectiveness and / or desired
outcomes.
- also many other names for it.
what is retrospective DUR Review of drug therapy performed after the drug is dispensed.
- common issues addressed in retrospective DUR include : Therapeutic
appropriateness, over and underutilization, appropriate generic use, clinical abuse/
misuse, therapeutic duplications, incorrect drug dosage, duration, and interactions.
ex. - PT with asthma and whether they are using controller meds
Exam 1 - Drug Utilization management and cost control strategies.pdf Exam 1 - Drug Utilization management and cost control strategies.pdf Exam 1 - Drug Utilization management and cost control strategies.pdf
