Chapter

Drug Utilization Review

Ind. Code § 12-15-35-1— "Appropriate and medically necessary" defined
Ind. Code § 12-15-35-2— "Board" defined
Ind. Code § 12-15-35-3— "Compendia" defined
Ind. Code § 12-15-35-4— "Counseling" defined
Ind. Code § 12-15-35-4.5— "Covered outpatient drug" defined
Ind. Code § 12-15-35-5— "Criteria" defined
Ind. Code § 12-15-35-6— "Drug-disease contraindication" defined
Ind. Code § 12-15-35-7— "Drug-drug interaction" defined
Ind. Code § 12-15-35-8— "Drug utilization review" or "DUR" defined
Ind. Code § 12-15-35-9— "Intervention" defined
Ind. Code § 12-15-35-10— "Overutilization or underutilization" defined
Ind. Code § 12-15-35-11— "Pharmacist" defined
Ind. Code § 12-15-35-12— "Physician" defined
Ind. Code § 12-15-35-13— "Prospective DUR" defined
Ind. Code § 12-15-35-14— "Retrospective DUR" defined
Ind. Code § 12-15-35-15— "Standards" defined
Ind. Code § 12-15-35-16— "SURS" defined
Ind. Code § 12-15-35-17— "Therapeutic appropriateness" defined
Ind. Code § 12-15-35-17.5— "Therapeutic classification" or "therapeutic category" defined
Ind. Code § 12-15-35-18— "Therapeutic duplication" defined
Ind. Code § 12-15-35-18.5— Application of chapter
Ind. Code § 12-15-35-18.7— Formulary requirements
Ind. Code § 12-15-35-19— Drug utilization review board; establishment
Ind. Code § 12-15-35-20— Membership of board
Ind. Code § 12-15-35-20.1— Conflicts of interest
Ind. Code § 12-15-35-20.5— Therapeutics committee established; members; limitations; terms; votes; meetings
Ind. Code § 12-15-35-21— Board; appointment; term
Ind. Code § 12-15-35-22— Qualifications of board members
Ind. Code § 12-15-35-23— Physician appointments; geographic balance
Ind. Code § 12-15-35-24— Reappointment of members
Ind. Code § 12-15-35-25— Chairman; compensation; expenses
Ind. Code § 12-15-35-26— Additional staff
Ind. Code § 12-15-35-27— Retrospective and prospective DUR program responsibility
Ind. Code § 12-15-35-28— Duties of the board; preferred drug list; report
Ind. Code § 12-15-35-28.5— Therapeutics committee duties
Ind. Code § 12-15-35-28.7— Submitting initial preferred drug list; limitations on restrictions; advance notice to providers; implementation; prior authorization limitation; rules
Ind. Code § 12-15-35-29— Quorum; majority vote on DUR criteria and standards for prescribing
Ind. Code § 12-15-35-30— Local practices; monitoring
Ind. Code § 12-15-35-31— Intervention; approval; requisites
Ind. Code § 12-15-35-32— Repealed
Ind. Code § 12-15-35-32.1— Annual report contents
Ind. Code § 12-15-35-33— Repealed
Ind. Code § 12-15-35-34— Confidential identifying information; release of cumulative nonidentifying information
Ind. Code § 12-15-35-35— Prior approval program for outpatient drugs; standards
Ind. Code § 12-15-35-36— Advisory committees
Ind. Code § 12-15-35-37— Medicaid state plan; inclusion of retrospective and prospective DUR program
Ind. Code § 12-15-35-38— DUR program guidelines and procedures
Ind. Code § 12-15-35-39— Retrospective DUR requisites
Ind. Code § 12-15-35-40— Prospective DUR requisites
Ind. Code § 12-15-35-41— Board activities under IC 34-30-15
Ind. Code § 12-15-35-42— Meetings
Ind. Code § 12-15-35-43— Confidentiality; pharmacist data and information
Ind. Code § 12-15-35-43.5— Prohibiting the release of proprietary or confidential information obtained under certain circumstances
Ind. Code § 12-15-35-44— Confidentiality; violations; penalty
Ind. Code § 12-15-35-45— Outpatient drug formulary; requirements
Ind. Code § 12-15-35-46— Review of proposed formulary
Ind. Code § 12-15-35-47— Review of changes to formulary
Ind. Code § 12-15-35-48— Board review of managed care organization prescription drug program
Ind. Code § 12-15-35-49— Information provided by office
Ind. Code § 12-15-35-50— Maximum allowable cost schedule for drugs; pharmacy participation in Medicaid program
Ind. Code § 12-15-35-51— Advisory committee; duties; report