ADURS State Representative Member Inquiry

This Form is for state Medicaid employees and vendor representatives who actively/directly participate in a specific state's DUR program. If you are not either of these, please complete a Corporate Attendee Inquiry form. Thanks.

ADURS is a non-profit entity that supports individuals active in drug utilization review(DUR) from the 50 State and District of Columbia Medicaid programs. The mission of ADURS is to provide a forum of leadership and support for our members.

Please complete the following form if you represent or contract with a State Medicaid Program and are interested in becoming a member of ADURS. Please allow a few days for a response as ADURS is run by volunteers. Incomplete or inaccurate information will delay the response.

All State representative memberships are subject to approval by your state Medicaid Pharmacy Administrator/Director. Submission of the Member Form does NOT guarantee membership.

Use your WORK email so that we can verify current employment status.

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* 1. Contact Information

First Name:

Last Name:

Work Email Address

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* 2. Are you currently employed by or contract with a State Medicaid Program?

Yes. Which State(s)?

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* 3. If you answered yes, do you represent a Vendor or Academia?

Yes. Please specify the Company/Academia.