Drug Utilization Review

FutureScripts offers two types of utilization management programs to monitor for and quickly address unsafe or inappropriate prescriptions for plan participants.

Concurrent Drug Utilization Review

A direct administration tool linking to plan pharmacists’ computers, this process automatically scans each prescription entered. Before dispensing, pharmacists receive a message warning of potential safety issues given the drug requested and the patient’s drug history. A reject notification can also be sent if the prescription does not meet certain criteria.

Safety issues that can be flagged include:

  • drug interactions
  • medical condition interactions
  • gender or age conflicts
  • therapeutic duplications
  • dosage amounts
  • excessive duration
  • early refill

Retrospective Drug Utilization Review

An enhancement to the concurrent drug utilization review, this program continually reviews plan participant prescription drug usage, checking for patterns that may infer inappropriate use or overuse of certain medications or drug types.