The greatest challenge associated with endocrine complications in individuals with traumatic brain injury (TBI) is early recognition of these subtle problems. Endocrine complications can produce significant impact on the progress and outcome of TBI rehabilitation. Prompt diagnosis and treatment of endocrine complications following TBI facilitate the rehabilitation process of patients with TBI. Read the full story


They may not have known it, but for a number of years most employees covered under pay-direct (a.k.a. drug card) plans have had their prescriptions captured and monitored by real time drug adjudication systems that incorporate sophisticated control, security and safety logic. These controls have collectively been referred to by the employee benefits industry as DUR, for Drug Utilization Review. DUR systems check a patient’s current and newly prescribed medications for drug-drug and drug-allergy interactions, multiple doctoring, quantity restrictions and internal plan cost controls such as those for mandatory generic substitution, reimbursement limits, co-payments and maximums. 

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