Under OBRA '90, what are pharmacists required to provide for Medicaid patients?

• A. Counseling and DUR
• B. Counseling only
• C. DUR only
• D. Medication Therapy Management

Answer: (A)

OBRA '90 requires pharmacists to provide two things for Medicaid patients: counseling and Drug Utilization Review (DUR). Counseling ensures patients understand how to take each medication, potential side effects, interactions to watch for, storage, and adherence, helping them use the therapy safely and effectively. DUR involves reviewing the patient’s entire medication regimen to identify problems such as potential drug interactions, contraindications, duplications, inappropriate dosing, or therapy gaps, with prospective DUR at dispensing and retrospective reviews by the state. Medication Therapy Management is not a specific OBRA '90 requirement, though it’s a broader, later-developed service that some settings offer. So the combination of counseling and DUR best matches the OBRA '90 mandate.