state of indiana medicaid dur annual report for federal fiscal year 2004 october 1 2003 to september 30 presented center medicare and services cms by office policy planning approved the medcaid board initial draft prepared acs healthcare pbm group table contents page survey 3 prospective criteria 7 a 8 b prior authorization pa 16 c miscellaneous programs 20 2 retrospective 21 attachment pharmacy information 23 produr activity 27 summary 28 detail conflict code therapeutic class 29 top 50 drugs codes 68 d conflicts pharmacist intervention & outcomes 78 79 detailed type 80 retrodur 83 procedures 85 interventions problem category 86 month 87 4 exceptions patients screened
