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Prescription Drugs

Quality Assurance

Part of our commitment to clinical excellence is our Drug Utilization Review (DUR) program, which works with quality assurance programs to ensure quality care through a disease management approach.

About Drug Utilization Review

The program is designed to identify and correct potentially harmful prescribing patterns, and it helps to enhance community prescribing standards and detect patterns of possible fraud and abuse.

Jefferson Health Plans is committed to continuous quality improvement, including annual evaluations of the DUR program, resulting in frequent improvements and a program that is responsive to the needs of our members and providers.

Contact Us

For additional information about Jefferson Health Plans’ Drug Utilization Review Program, please contact Medicare Member Relations at 1-866-901-8000 (TTY 1-877-454-8477).