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Printed:07132022California PUMP acronym:CURESRegion:Agency Responsible:California Department of JusticeAgency Type:Law Enforcement AgencyWebsite:http://oag.ca.gov/curesEmail:cures@doj.ca.govRegister

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How to fill out controlled substance utilization review

01

Step 1: Gather all the necessary information regarding the patient, prescription, and controlled substance.

02

Step 2: Review and understand the guidelines and regulations for filling out a controlled substance utilization review form.

03

Step 3: Fill out the patient's personal information, including name, address, contact number, and date of birth.

04

Step 4: Provide details about the prescription, such as the medication name, dosage, quantity, and prescribing doctor's information.

05

Step 5: Indicate the reason for the controlled substance utilization review, specifying the medical condition or purpose of the prescription.

06

Step 6: Include any relevant medical history or previous medication usage that may impact the utilization of controlled substances.

07

Step 7: Sign and date the form, ensuring legal authorization and compliance with regulations.

08

Step 8: Submit the completed controlled substance utilization review form to the appropriate authority or organization.

Who needs controlled substance utilization review?

01

Controlled substance utilization review is needed by healthcare professionals, such as doctors, pharmacists, and other prescribers, who are involved in prescribing or dispensing controlled substances.

02

Insurance companies and regulatory agencies may also require controlled substance utilization review to monitor and ensure the appropriate and safe use of controlled substances.

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What is controlled substance utilization review?

Controlled substance utilization review is a process intended to monitor the prescribing and dispensing of controlled substances to ensure they are used appropriately and to prevent misuse, abuse, or addiction.

Who is required to file controlled substance utilization review?

Healthcare providers such as physicians, pharmacists, and other prescribers who administer or prescribe controlled substances are typically required to file controlled substance utilization reviews.

How to fill out controlled substance utilization review?

To fill out a controlled substance utilization review, providers must collect patient information, details of the prescribed controlled substances, dosage amounts, time frame of prescriptions, and any other relevant clinical information before submitting it to the appropriate regulatory authority.

What is the purpose of controlled substance utilization review?

The purpose of controlled substance utilization review is to improve patient safety by identifying and preventing potential prescription drug abuse, managing prescriptions effectively, and ensuring compliance with state and federal regulations.

What information must be reported on controlled substance utilization review?

Information that must be reported includes patient identification, prescriber details, drug name and dosage, quantity dispensed, dates of prescriptions, and any additional clinical notes relevant to the prescribed substances.

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