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Quality Assurance Policies and Procedures

Programs to help members use drugs safely

We conduct drug use reviews for our members to help make sure that they are getting safe and appropriate care. These reviews are especially important for members who have more than one provider who prescribes their drugs.

We do a review each time you fill a prescription. We also review our records on a regular basis. During these reviews, we look for potential problems such as:

  • Possible medication errors
  • Drugs that may not be necessary because you are taking another drug to treat the same medical condition
  • Drugs that may not be safe or appropriate because of your age or gender
  • Certain combinations of drugs that could harm you if taken at the same time
  • Prescriptions written for drugs that have ingredients you are allergic to
  • Possible errors in the amount (dosage) of a drug you are taking
  • Unsafe amounts of opioid pain medications

If we see a possible problem in your use of medications, we will work with your provider to correct the problem.