Trace the source. Leave the decision with the pharmacist.
Oversight on METHUVIA AI is about whether a reviewer can see the policy, the evidence, and the open questions — not about a published accuracy rate.
METHUVIA AI prepares the review. The pharmacist makes the final coverage decision.
What a reviewer can check
Source traceability
Criteria status is shown with the source that supports it, so a pharmacist can see where a point came from.
Policy-page traceability
When a policy page is available, the review can open that cited page rather than a detached summary.
Evidence traceability
Clinical support is tied back to the chart note or other source in the case file.
No fabricated evidence
METHUVIA AI does not invent a source, a result, or a policy passage that is not in the file.
Fail closed
Missing or unresolved documentation is not treated as met. The open point stays with the pharmacist.
Advisory recommendation
The prepared recommendation is advisory. It is not an approval, a denial, or a request for more information.
Pharmacist authority
METHUVIA AI prepares the review. The pharmacist makes the final coverage decision.
Certified case baselines
Review behavior is checked against certified case baselines before a release is treated as ready to show.
Synthetic regression testing
Synthetic cases are used to re-check review behavior. Those cases are not patient records.