Drug Utilization Review (DUR) Requirements
The Omnibus Budget Reconciliation Act (OBRA) of 1990 requires that all State medical assistance programs include a retrospective and prospective drug utilization review (DUR) program for all covered outpatient pharmaceuticals as well as patient counseling. The primary goal of drug utilization review is to enhance and improve the quality of pharmaceutical care and patient outcomes by encouraging optimal drug use. The DUR program must ensure that prescribed medications are appropriate, medically necessary, and are not likely to result in adverse medical outcomes. The DUR program includes: retrospective DUR, prospective DUR, and the State DUR Board, as well as patient counseling.