OBRA ’90 — offer to counsel (Medicaid DUR)

Claim

Federal Medicaid drug-use review rules require states to set pharmacist counseling standards that include at least an offer to discuss the medication with each Medicaid beneficiary (or caregiver), in person when practicable or via a toll-free telephone service.

Plain

Federal floor is the offer to counsel for Medicaid beneficiaries; many boards extend counseling rules to all patients. State board is what you practice under.

Citations

1. 42 U.S.C. § 1396r-8(g) (1396r-8(g) counseling standards) — source
   

   The pharmacist must offer to discuss with each individual receiving benefits under this subchapter or caregiver of such individual (in person, whenever practicable, or through access to a telephone service which is toll-free

   retrieved 2026-09-07