DUR Board ProDUR Edits

Effective 5/21/2013, the Medicaid Fee-for-Service (FFS) pharmacy program implemented a new prospective DUR edit (02120), "Prescriber Notification", to comply with recommendations of the DUR Board. This edit is designed to aid pharmacists when optimal therapy may not be reflected in the beneficiary's claim history. Pharmacists will have the right to exercise professional judgment with the ability to override the edit, when an informed decision on therapy has been reached.