D.C. Municipal Regulations (Last Updated: September 13, 2017) |
Title 29. PUBLIC WELFARE |
Chapter 29-27. MEDICAID REIMBURSEMENT FOR FEE FOR SERVICE PHARMACY SERVICES |
Section 29-2714. DRUG UTILIZATION REVIEW BOARD (DUR BOARD)
Latest version.
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2714.1 Pursuant to the requirements established by 42 C.F.R. part 456, subpart K, the District of Columbia has established the Drug Utilization Review Board (DUR Board).
2714.2 The DUR Board shall ensure that prescribed drugs are clinically appropriate, medically necessary, cost effective, and not fraudulently obtained or prescribed.
2714.3 The DUR Board shall evaluate and develop guidelines for beneficiary inclusion to the fee-for service pharmacy lock-in program.
authority
The Director of the Department of Health Care Finance (DHCF), pursurant to the authority set forth in An Act to enable the District of Columbia to receive federal financial assistance under Title XIX of the Social Security Act for a medical assistance program, and forth other purposes, approved December 27, 1967 (81 Stat. 774; D.C. Official Code § 1-307.02 (2006 Repl. & 2011 Supp.)) and section 6(6) of the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.05(6)) (2008 Repl.)).
source
Notice of Final Rulemaking published at 59 DCR 2298, 2311 (March 23, 2012).