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Medication Review


A Medication File Review is the review of all medications being paid for on a claim. The specialist will review an individual’s medication to ensure it’s: claim related, not contraindicated with other medications, the correct dose, being charged to the insurer at a reasonable price, and if there are any other medication options available may make recommendations around long-term opioid use/opioid plans. This report is similar to an IMC, as the specialist will contact the NTD to discuss medication uses, suggest non-addictive alternatives (if required), and discuss the necessary use of medications, as well as long term planning for medication reductions if at all possible.