Indiana § 12-15-35-39 - Retrospective DUR requisites

Full text of Indiana Indiana Code § 12-15-35-39 — Retrospective DUR requisites, with citation guidance and answers to common questions.

§ 12-15-35-39. Retrospective DUR requisites

Sec. 39. Retrospective DUR must:

(1) be based on the guidelines established by the board; and

(2) use the mechanized drug claims processing and information retrieval system to analyze claims data to do the following:

(A) Identify patterns of fraud, abuse, gross overuse, and inappropriate or medically unnecessary care.

(B) Assess data on drug use against explicit predetermined standards that are based on the compendia and other sources to monitor the following:

(i) Therapeutic appropriateness.

(ii) Overutilization or underutilization.

(iii) Therapeutic duplication.

(iv) Drug-disease contraindications.

(v) Drug-drug interactions.

(vi) Incorrect drug dosage or duration of drug treatment.

(vii) Clinical abuse and misuse.

As added by P.L.75-1992, SEC.19.

Source: official Indiana text · Last verified 2026-08-27

Frequently Asked Questions About Indiana § 12-15-35-39

What does Indiana Code § 12-15-35-39 cover?

Section 12-15-35-39 ("Retrospective DUR requisites") is part of the Indiana Code, the codified statutory law of Indiana. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite Indiana § 12-15-35-39?

A common citation format is "Indiana Code § 12-15-35-39" (Indiana). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of Indiana law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the Indiana official source linked on this page or consult a licensed Indiana attorney.

How does Indiana § 12-15-35-39 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Indiana can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in Indiana.