Prescription Drug Utilization

Prescription Drug Utilization

We conduct drug utilization review for all our members to make sure that they are getting safe and appropriate care. These reviews are especially important for members who have more than one doctor who prescribes their medications. We conduct drug utilization reviews each time you fill a prescription and on a regular basis by reviewing our records. During these reviews, we look for medication problems such as:

  • Possible medications errors.
  • Duplicate drugs that are unnecessary because you are taking another drug to treat the same medical condition.
  • Drugs that are inappropriate because of your gender or age.
  • Possible harmful interactions between drugs you are taking.
  • Drug allergies.
  • Drug dosage errors.

If we identify a medication problem during our drug utilization review, we will work with your doctors to correct the problem.

Y0010_MK19182_M Accepted 10/1/2018
Last updated 10/01/2018

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Introduction to Medicare