Overriding DURs

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ZakMeister

RPh
10+ Year Member
i see a lot of DURs which are paid claims but still pop up as High dose or DDIs, Preg alert etc. Do you guys necessarily respond to those?

There are of course some hard rejects I have seen for controlled substance and other major DDI’s for which I have to override manually or call then insurance for that
 
Often times, I see the preg alerts and the patient isnt even pregnant anymore... I think the system isn't good enough