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42 C.F.R. § 456.700   Scope.

Title 42 - Public Health

Title 42: Public Health
PART 456—UTILIZATION CONTROL
Subpart K—Drug Use Review (DUR) Program and Electronic Claims Management System for Outpatient Drug Claims

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§ 456.700   Scope.

This subpart prescribes requirements for—

(a) An outpatient DUR program that includes prospective drug review, retrospective drug use review, and an educational program;

(b) The establishment, composition, and functions of a State DUR Board; and

(c) An optional point-of-sale electronic claims management system for processing claims for covered outpatient drugs.

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