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Patient Profiling/Drug Utilization Reviews |
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In Managed Care Plans, Patient Profiling allows the Plan to
identify over-utilization, inappropriate prescribing, waste
and fraud. Patient Profiling is the starting point of Drug
Utilization Reviews where the AUDITRACK© System analyzes
the data and prepares reports for ACS, Audit & Compliance Solutions Staff Pharmacists
to review.
Many Managed Care Plans may also be interested in a similar program called
a "Lock In" Program. Whereby patients with aberrent utilization patterns are
limited to a specific pharmacy for all of their pharmacy services.
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