The PBM also performs retrospective DUR utilizing drug use examinations, qualitative examinations of substance abuse and suggesting to determine the proper medication therapy. The PBM finishes DUE by analyzing clinical records and also a claimant's prescription history, as well as identifies areas for prescription enhancement. Once complete, The PBM may suggest non-opioid treatments, dosage adjustments, naloxone, appropriate opioid weaning, as well as various other guideline-driven suggestions to the dealing with carrier. The PBM will certainly publish prior authorization choice letters straight on the PBM's websites for prescribers and plaintiffs; claimants and prescribers can additionally call the PBM to review therapy plans (1-833-FECA-PBM). Decision letters will educate prescribers and also claimants when consent will certainly finish, if it was authorized, as well as why authorization was rejected, if it was refuted. What are the five steps of an incident examination?
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