FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 332:1641-1645 June 15, 1995 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

On October 28, 1990, with little debate, Congress passed the Omnibus Budget Reconciliation Act, requiring the states to provide claims-based drug-utilization review to approximately 34 million Medicaid enrollees.^1,2 The provisions of the program were borrowed from the ill-fated Medicare Catastrophic Coverage Act of 1988, repealed in 1990; the stated goals were to reduce potentially inappropriate prescribing and dispensing of medications, enhance the counseling of patients, and reduce growth in expenditures for drugs.¹ Drug-utilization review is a structured, ongoing program that interprets patterns of drug use in relation to predetermined criteria and attempts to prevent or minimize inappropriate prescribing.^3,4 Thus, it . . . [Full Text of this Article]

Lack of Supporting Data

Questionable Screening Criteria

Underuse of Drugs

Risks of Denying Prescribed Drugs

Conflicts of Interest

Conclusions

References

Related Letters:

Computer-Based Drug-Utilization Review
Fulda T. R., Soumerai S. B., Lipton H. L.
Extract | Full Text  
N Engl J Med 1995; 333:1290-1291, Nov 9, 1995. Correspondence

This article has been cited by other articles:

• Glassman, P. A., Belperio, P., Lanto, A., Simon, B., Valuck, R., Sayers, J., Lee, M. (2007). The Utility of Adding Retrospective Medication Profiling to Computerized Provider Order Entry in an Ambulatory Care Population. J. Am. Med. Inform. Assoc. 14: 424-431 [Abstract] [Full Text]  
• Malone, D. C., Hutchins, D. S., Haupert, H., Hansten, P., Duncan, B., Van Bergen, R. C., Solomon, S. L., Lipton, R. B. (2005). Assessment of potential drug-drug interactions with a prescription claims database. Am J Health Syst Pharm 62: 1983-1991 [Abstract] [Full Text]  
• Soumerai, S. B. (2004). Benefits And Risks Of Increasing Restrictions On Access To Costly Drugs In Medicaid. Health Aff (Millwood) 23: 135-146 [Abstract] [Full Text]  
• Hennessy, S., Bilker, W. B., Zhou, L., Weber, A. L., Brensinger, C., Wang, Y., Strom, B. L. (2003). Retrospective Drug Utilization Review, Prescribing Errors, and Clinical Outcomes. JAMA 290: 1494-1499 [Abstract] [Full Text]  
• Monane, M., Matthias, D. M., Nagle, B. A., Kelly, M. A. (1998). Improving Prescribing Patterns for the Elderly Through an Online Drug Utilization Review Intervention: A System Linking the Physician, Pharmacist, and Computer. JAMA 280: 1249-1252 [Abstract] [Full Text]  
• Redelmeier, D. A., Tan, S. H., Booth, G. L. (1998). The Treatment of Unrelated Disorders in Patients with Chronic Medical Diseases. NEJM 338: 1516-1520 [Abstract] [Full Text]  
• Schiff, G. D., Rucker, T. D. (1998). Computerized Prescribing: Building the Electronic Infrastructure for Better Medication Usage. JAMA 279: 1024-1029 [Abstract] [Full Text]  
• Fraser, G. L., Stogsdill, P., Dickens, J. D. Jr, Wennberg, D. E., Smith, R. P. Jr, Prato, B. S. (1997). Antibiotic Optimization: An Evaluation of Patient Safety and Economic Outcomes. Arch Intern Med 157: 1689-1694 [Abstract]  
• Huff, E. D. (1996). Systems Analysis of Adverse Drug Events. JAMA 275: 33-34 [Abstract]  
• Fulda, T. R., Soumerai, S. B., Lipton, H. L. (1995). Computer-Based Drug-Utilization Review. NEJM 333: 1290-1291 [Full Text]