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DEPARTMENT OF JUSTICECONTROLLED SUBSTANCE UTILIZATION REVIEW AND EVALUATION SYSTEM (CURES)INFORMATION PRACTICES ACT REPRESENTATIVE REQUEST FORM CURES201 (09/2019)Page 1 of 3SECTION A. Documentation PERSONAL
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01
To fill out a controlled substance utilization review, follow these steps:
02
Start by collecting all necessary information such as patient details, prescription details, and healthcare provider information.
03
Verify the patient's identity by asking for identification and confirming their personal information.
04
Review the prescription information carefully, including the medication name, dosage, and frequency.
05
Evaluate the patient's medical history and current condition to determine the appropriateness of the controlled substance utilization.
06
Document any contraindications or potential risks associated with the prescription.
07
Fill out the utilization review form accurately, providing all requested information.
08
Attach any supporting documents or medical records as required.
09
Double-check all the entered information for accuracy and completeness.
10
Submit the completed controlled substance utilization review form to the designated authority or department.
11
Keep a copy of the filled-out form and any other supporting documents for your records.

Who needs controlled substance utilization review?

01
Controlled substance utilization review is needed by healthcare providers, such as doctors, pharmacists, and other medical professionals who prescribe or dispense controlled substances.
02
Insurance companies, regulatory agencies, and healthcare organizations may also require controlled substance utilization reviews to monitor and track the usage of controlled substances.
03
It is an essential process to ensure the appropriate use of controlled substances and to prevent abuse or misuse.
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Controlled substance utilization review is a process that evaluates the prescribing, dispensing, and use of controlled substances to ensure appropriate use, minimize abuse, and improve patient care.
Healthcare providers and pharmacists who prescribe or dispense controlled substances are typically required to file controlled substance utilization reviews.
To fill out a controlled substance utilization review, provide all relevant patient information, including demographic details, the prescribed substances, dosages, and any supplementary clinical data as per the guidelines of the reviewing authority.
The purpose of controlled substance utilization review is to monitor and assess the use of controlled substances, reduce potential misuse or abuse, ensure patient safety, and enhance the overall quality of care.
Required information typically includes patient identification, details of the prescribed controlled substances, dosage, prescribing physician, dates of prescriptions, and any relevant medical history.
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