Division of Medicaid Office of the Governor State of ...
Division of Medicaid Office of the Governor
State of Mississippi Drug Utilization Review (DUR) Board Meeting
May 31, 2018 at 2:00pm Woolfolk Building, Room 145
Jackson, MS Prepared by:
Drug Utilization Review Board
Rhonda Dunaway, RPh Coastal Family Health Center 9113 Hwy 49 Suite 200 Gulfport 39503 Term Expires: June 30, 2020
Janet Ricks, DO UMMC, Family Medicine 2500 North State Street Jackson, MS 39216 Term Expires: June 30, 2018
Juanice Glaze, RPh Wal-Mart Pharmacy 5901 U.S. Highway 49 Hattiesburg, MS 39402 Term Expires: June 30, 2019
Sue H. Simmons, MD Maben Medical Clinic 49 Turner St. Maben, MS 39750 Term Expires: June 30, 2018
Alice F. Messer, FNP-BC Newsouth Neurospine 2470 Flowood Drive Flowood, MS 39232 Term Expires: June 30, 2019
Dennis Smith, RPh Polk's Discount Drugs 1031 Star Rd Brandon, MS 39042 Term Expires: June 30, 2020
Ray Montalvo, MD KDMC Specialty Clinic 940 Brookway Boulevard Brookhaven, MS 39601 Term Expires: June 30, 2020
James Taylor, PharmD (Chair) North MS Medical Center 830 S. Gloster Street Tupelo, MS 38801 Term Expires: June 30, 2019
Holly R. Moore, PharmD Anderson Regional Medical Center 2124 14th Street Meridian, MS 39301 Term Expires: June 30, 2020
Pearl Wales, PharmD Be Jay PE Pharmacy 1668 West Peace Street Canton, MS 39047 Term Expires: June 30, 2018
March 1, 2018 May 31, 2018
2018 DUR Board Meeting Dates
September 13, 2018 December 6, 2018
Mississippi Division of Medicaid DUR Board Packet (Ver 1) ? May 2018 - Page 1
As with any analysis, great efforts are made to ensure that the information reported in this document is accurate. The most recent administrative claims data available are being used at the time the reports are generated, which includes the most recent adjudication history. As a result, values may vary between reporting periods and between DUR Board meetings, reflecting updated reversals and claims adjustments. Unless otherwise indicated, all MS-DUR analyses are conducted for the entire Mississippi Medicaid program including beneficiaries receiving services through the Medicaid fee-for-service (FFS) and the two Mississippi Medicaid Coordinated Care Organizations (CCOs). When dollar figures are reported, the reported dollar figures represent reimbursement amounts paid to providers and are not representative of final Medicaid costs after rebates. Any reported enrollment data presented are unofficial and are only for general information purposes for the DUR Board. Please refer to the Mississippi Division of Medicaid website for the current official Universal Preferred Drug List (PDL).
Mississippi Division of Medicaid DUR Board Packet (Ver 1) ? May 2018 - Page 2
Welcome
MISSISSIPPI DIVISION OF MEDICAID OFFICE OF THE GOVERNOR
DRUG UTILIZATION REVIEW BOARD AGENDA
May 31, 2018
James Taylor, PharmD (Chair)
Old Business Approval of March 2018 Meeting Minutes
Resource Utilization Review
Enrollment Statistics Pharmacy Utilization Statistics Top 10 Drug Categories by Number of Claims Top 10 Drug Categories by Amount Paid Top 25 Drug Molecules by Number of Claims Top 25 Drug Molecules by Dollars Paid Top 25 Drug Molecules by Change in Number of Claims Top 25 Drug Molecules by Change in Dollars Paid Top 15 Solid Dosage Form High Volume Products By Percent Change In
Amount Paid Per Unit
James Taylor, PharmD page 5
page 11 page 12 page 13 page 14 page 15 page 16 page 17 page 18
page 19
Pharmacy Program Update
Feedback and Discussion from the Board New Business
Terri Kirby, RPh Sara (Cindy) Noble, PharmD, MPH
Election of Officer Update on MS-DUR Educational Interventions Special Analysis Projects
Stimulants and Associated Diagnoses for Clinical Edit Pharmacotherapeutic Management of Sickle Cell Disease Makena Utilization in Mississippi Medicaid Palivizumab (Synagis) Utilization Update: 2015-16 through 2017-18 Seasons FDA Drug Safety Updates
page 20
page 21 page 27 page 32 page 42 page 44
Next Meeting Information
James Taylor, PharmD
Mississippi Division of Medicaid DUR Board Packet (Ver 1) ? May 2018 - Page 3
DUR Board Meeting Minutes
Mississippi Division of Medicaid DUR Board Packet (Ver 1) ? May 2018 - Page 4
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