Abstract
OBJECTIVE: To gain a better understanding of both the contribution that third-party Online Prospective Drug Utilization Review (OPDUR) programs make to prescription drug therapy, and the economic burden these programs impose on community pharmacy providers. DESIGN: On-site data collection. SETTING: 42 community pharmacies in Indiana. MAIN OUTCOME MEASURES: The cost per overridden OPDUR alert and the cost per nonoverridden OPDUR alert can improve the safety and effectiveness of prescription drug care by alerting pharmacists to significant medication-related problems. However, questions have arisen in recent years regarding the benefits of OPDUR programs versus the costs these programs impose on pharmacies. RESULTS: Across all third-party claims, 10.3% were associated with an OPDUR alert. Of alerts received at the pharmacy, 88.1 % were overridden by pharmacy personnel; the remaining 11.9% required an intervention by the pharmacist or technician. Of OPDUR alerts that were not overridden, interventions includ...

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