Evaluation results from prospective drug utilization review: Medicaid demonstrations.
Date of Pub
Bae, Jay P
In 1992 HCFA awarded two cooperative agreements for demonstrations of prospective drug utilization review (PDUR). Iowa tested
an on-line prospective drug utilization review (OPDUR) system. Washington tested payments to pharmacists for providing non-dispensing
"cognitive services" (CS). In this article the authors report on an evaluation of these demonstrations and on three assessments
of retrospective drug utilization review (RDUR) interventions. The evaluation failed to detect effects of either State PDUR
demonstration on the frequency of drug problems, utilization of prescription drugs and other health services, and clinical
outcomes. However, the State RDUR interventions had immediate effects on prescribing physicians.
Costs and Cost Analysis : Data Collection : Drug Therapy/adverse effects : Drug Utilization Review/methods : Evaluation Studies
: Health Care Financing Administration : Insurance, Health, Reimbursement/economics/statistics & numerical data : Iowa : Medicaid/organization
& administration : Outcome Assessment (Health Care) : Pilot Projects : State Health Plans/organization & administration :
United States : Washington