Oregon Statutes - Chapter 414 - Medical Assistance - Section 414.380 - Standards for retrospective drug use review program.

The retrospective drug use review program must:

(1) Be based on the guidelines established by the Department of Human Services in consultation with the Drug Use Review Board; and

(2) Use the mechanized drug claims processing and information retrieval system to analyze claims data on drug use against explicit predetermined standards that are based on the compendia and other sources to monitor the following:

(a) Therapeutic appropriateness.

(b) Overutilization or underutilization.

(c) Fraud and abuse.

(d) Therapeutic duplication.

(e) Drug-disease contraindications.

(f) Drug-drug interactions.

(g) Incorrect drug dosage or duration of drug treatment.

(h) Clinical abuse and misuse. [1993 c.578 §12]

Note: See note under 414.350.

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Last modified: August 7, 2008