Prospective drug utilization review – Ohio Admin. Code 4729-5-20

Prior to dispensing any prescription, a pharmacist must review the patient profile to identify the following information:

• Over-utilization or under-utilization;
• Therapeutic duplication;
• Drug-disease state contraindications;
• Drug-drug interactions;
• Incorrect drug dosage;
• Drug-allergy interactions;
• Abuse/misuse;
• Inappropriate duration of drug treatment; and
• Food-nutritional supplements-drug interactions.

Upon recognizing any of the above, a pharmacist must take appropriate steps to avoid or resolve the potential problem, including consulting with the prescriber and/or counseling the patient.  

Prior to dispensing a prescription, a pharmacist must request and review an Ohio Automated Rx Reporting System (OARRS report covering at least a one year time period if the pharmacist becomes aware of a person doing any of the following:

• Receiving reported drugs from multiple prescribers;
• Receiving reported drugs for more than twelve consecutive weeks;
• Abusing or misusing reported drugs; 
• Requesting the dispensing of reported drugs from a prescription issued by a prescriber with whom the pharmacist is unfamiliar; or
• Presenting a prescription for reported drugs when the patient resides outside the usual pharmacy geographic patient population.