West Virginia MPJE (Pharmacy Jurisprudence) Practice Exam

Which act requires each state to have a DUR program in order to be reimbursed for Medicaid services?

1. ACA

2. HIPAA

3. OBRA

4. FDCA

The correct answer is: ACA

The correct answer is the OBRA (Omnibus Budget Reconciliation Act). This act was enacted to address various issues related to budget and spending in the U.S. government, and one of its significant provisions requires states to implement a Drug Utilization Review (DUR) program as part of the Medicaid services. The DUR program aims to ensure the appropriate use of medications by monitoring prescriptions, identifying potential problems, and promoting safe and effective medication use. While the Affordable Care Act (ACA) introduced many healthcare reforms, it was not specifically focused on requiring DUR programs for Medicaid reimbursement. The Health Insurance Portability and Accountability Act (HIPAA) primarily deals with the privacy and security of health information, and the Federal Food, Drug, and Cosmetic Act (FDCA) regulates the safety and efficacy of drugs and food products but does not mandate DUR programs for Medicaid reimbursement.