Services

Clinical Review and Safety: The Bottom Line on Program
Quality and Injured Worker Safety

Express Scripts Workers' Compensation clinical programs are geared toward safety and risk management.

Concurrent Drug Utilization Review (DUR) — Identifies potentially inappropriate prescriptions before dispensing

Retrospective Drug Utilization Review (DUR) — Evaluates potential problems or fraud and abuse after the prescription is filled; searches for duplicate therapy, high utilization of controlled substances, muscle relaxants and other drugs, and extended use of sleep medications

Predictive Modeling — Designed to identify claims with increased risk for clients due to potentially inappropriate patterns of prescription-drug use; clients may use these reports to help evaluate the need for proactive interventions, such as case management or independent medical examinations

Pharmacist's Drug Review (PDRx) — Review of an injured worker's medication history by a licensed pharmacist to evaluate appropriateness of dosages, possible duplication of therapy, potential drug interactions or other possible issues