Managed Care Organization (MCO) Request for Drug Utilization Review (DUR) Forms
| Form Name | Managed Care Organization (MCO) Request for Drug Utilization Review (DUR) |
| Form # | BWC-3934 MEDCO-34 |
| Form Revision | (Rev. Sept. 12, 2024) |
| Category | Forms » Utilization Review |
| Downloads | |
| Form State | Ohio |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |