50-24.6-01. Definitions

50-24.6-01. Definitions As used in this chapter, unless the context otherwise requires: 1. "Board" means the drug use review board. 2. "Compendium" means the American hospital formulary service drug information, United States pharmacopeia-drug information, the DRUGDEX information system, American medical association drug evaluations, or nonproprietary peer-reviewed medical literature. 3. "Department" means the department of health and human services. 4. "Drug use review" means a program as described in 42 U.S.C. 1396r-8(g)(2). 5. "Drug use review criteria" means standards approved by the board for use in determining whether use of a drug is likely to be medically appropriate, to be medically necessary, and not result in adverse medical outcomes. 6. "Prior authorization" means a process requiring the prescriber or the dispenser to verify with the department or the department's contractor that proposed medical use of a particular drug for a medical assistance program recipient meets predetermined criteria for coverage by the medical assistance program.