Drug Use Review (DUR) Program and Electronic Claims Management System for Outpatient Drug Claims

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medical Assistance Programs
  6. Utilization Control
  7. Drug Use Review (DUR) Program and Electronic Claims Management System for Outpatient Drug Claims

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Section
456.700

Scope.

Section
456.702

Definitions.

Section
456.703

Drug use review program.

Section
456.705

Prospective drug review.

Section
456.709

Retrospective drug use review.

Section
456.711

Educational program.

Section
456.712

Annual report.

Section
456.714

DUR/surveillance and utilization review relationship.

Section
456.716

DUR Board.

Section
456.719

Funding for DUR program.

Section
456.722

Electronic claims management system.

Section
456.725

Funding of ECM system.