Prospective Drug Utilization Review
Effective Dec 6, 2024Mass. Register #1536MGL c. 94C, §§ 6, 19B, 19C MGL c. 112, § 30 MGL c. 112, § 42ABoard of Registration in Pharmacy
(1) A pharmacist shall conduct a prospective drug utilization review ("DUR") before each new prescription or medication order is dispensed or delivered to a patient or a patient's agent. The DUR may include a review of computerized alerts, the patient record, and each new and renewed prescription or medication order for the purpose of promoting therapeutic appropriateness, by making a reasonable effort to identify the following:
- (a) over-utilization or under-utilization;
- (b) therapeutic duplication;
- (c) drug-disease contraindication;
- (d) drug-drug interaction;
- (e) drug-food interaction;
- (f) incorrect drug dosage or duration of drug treatment;
- (g) drug-allergy interactions;
- (h) abuse or misuse;
- (i) any significant change in drug, dose, or directions; and
- (j) any age related contraindications.
- (2) Upon identifying any of the above, a pharmacist shall take appropriate measures to ensure the proper care of the patient which may include consultation with the prescribing practitioner or direct consultation with the patient or patient's agent. A pharmacist shall document any measures taken in response to a drug utilization review.
(3) The DUR shall be based upon current standards which may include the following:
- (a) the American Hospital Formulary Service Drug Information;
- (b) the United States Pharmacopoeia Drug Information;
- (c) the American Medical Association Drug Evaluations;
- (d) Plumb's Veterinary Drug Handbook; and
- (e) other peer-reviewed medical literature.