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Community pharmacy-based medication therapy management services: financial impact for patients
Dodson, Sarah E. Ruisinger, Janelle F. Howard, Patricia A. Hare, Sarah E. Barnes, Brian Joseph
Dodson, Sarah E.
Ruisinger, Janelle F.
Howard, Patricia A.
Hare, Sarah E.
Barnes, Brian Joseph
Citations
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Abstract
Objective: To determine the direct financial impact
for patients resulting from Medication Therapy
Management (MTM) interventions made by
community pharmacists. Secondary objectives
include evaluating the patient and physician
acceptance rates of the community pharmacists’
recommended MTM interventions.
Methods: This was a retrospective observational
study conducted at 20 Price Chopper and Hen
House grocery store chain pharmacies in the
Kansas City metro area from January 1, 2010 to
December 31, 2010. Study patients were Medicare
Part D beneficiaries eligible for MTM services. The
primary outcome was the change in patient out-ofpocket
prescription medication expense as a result
of MTM services.
Results: Of 128 patients included in this study, 68%
experienced no out-of-pocket financial impact on
their medication expenses as a result of MTM
services. A total of 27% of the patients realized a
cost-savings (USD440.50 per year, (SD=289.69))
while another 5% of patients saw a cost increase in
out-of-pocket expense (USD255.66 per year,
(SD=324.48)). The net financial impact for all 128
patients who participated in MTM services was an
average savings of USD102.83 per patient per year
(SD=269.18, p<0.0001). Pharmacists attempted a
total of 732 recommendations; 391 (53%) were
accepted by both the patient and their prescriber. A
total of 341 (47%) recommendations were not
accepted because of patient refusal (290, 85%) or
prescriber refusal (51, 15%).
Conclusions: Patient participation in MTM services
reduces patient out-of-pocket medication expense.
However, this savings is driven by only 32% of
subjects who are experiencing a financial impact on
out-of-pocket medication expense. Additionally, the
majority of the pharmacists’ recommended
interventions (53%) were accepted by patients and
prescribers.
Description
This is the published version. Copyright 2012 Centro de Investigaciones y Publicaciones Farmaceuticas.
Date
2012-07
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Centro de Investigaciones y Publicaciones Farmaceuticas
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Keywords
Community Pharmacy Services, Medication therapy management, Drug costs, United States
Citation
Dodson, Sarah E., Janelle F. Ruisinger, Patricia A. Howard, Sarah E. Hare, and Brian J. Barnes. "Community Pharmacy-based Medication Therapy Management Services: Financial Impact for Patients." Pharmacy Practice (Internet) 10.3 (2012): 119-24. Web.