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Drug Utilization Review

The primary objectives of Drug Utilization Review (DUR) are to improve the quality of health care for Medicaid members and to assist in containing health care costs.   In order to achieve these goals, prescription claims must be reviewed both prospectively and retrospectively.   Findings of the reviews are communicated to both prescribers and pharmacists to assure that medications provided are appropriate, medically necessary, and not likely to result in adverse medical effects.    Drug Utilization Review is mandated by the Omnibus Budget Reconciliation Act of 1990 (OBRA ’90), an amendment to the Social Security Act.

Calendar, Agendas and Minutes

All meetings are held from 4-6 pm in the Lower Level Conference Room of the DHHR Building at 350 Capitol Street, Charleston, WV.  

Contact:  Brian M. Thompson, MS, PharmD
Drug Utilization Review Coordinator
304-558-1700
Brian.M.Thompson@wv.gov 

 
2015 Meetings       
February 25, 2015  Agenda    
       
2014 Meetings       
November 19, 2014  Agenda  Minutes Attachment A - PDL Changes
Attachment B - PA Criteria
Attachment C - DUR Quarterly Report
Attachment D - RDTP Quarterly Report
Attachment E - HID Quarterly Report
September 17, 2014 Agenda Minutes Attachment A - PDL Changes
Attachment B - PA Criteria
Attachment C - DUR Quarterly Report
Attachment D - RDTP Quarterly Report
May 21, 2014  Agenda   Minutes Attachment A - PDL Changes
Attachment B - Xerox Reports
Attachment C - Quarterly DUR Report
Attachment D - RDTP Quarterly Report
February 19, 2014 Agenda Minutes PDL Changes
DUR Presentation
       
       
       
2013 Meetings       
November 20, 2013   Agenda Minutes  Attachment A - Ketoconazole
Attachment B - Chantix
Attachment C - Osphena
Attachment D - Rational Drug Therapy Program Presentation
September 18, 2013  Agenda Minutes Amitiza
Invokana
Ketoconazole
Sirturo
Tecfidera
Xyrem 
May 15, 2013  Agenda Minutes  Asthma Proposal
Polypharmacy Proposal
Molina Report
RDTP Presentation
February 20, 2013  Agenda Minutes Bipolar Proposal
Bipolar Letter
Diabetes Numbers
Mental Health News Letter
Lock-In Outcome FFY 2012
Mail Merge Approval - Crestor PDL Provider Letter
       
       
       
DUR Archived Agendas and Meetings
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