title: Retrospective analysis of estimated cost avoidance following pharmacist-provided medication therapy management services.
abstract: OBJECTIVE
  To compare the estimated cost avoidance (ECA) of pharmacist-provided medication therapy management (MTM) services among common disease states encountered in community pharmacy practice.
  
  
  METHODS
  Retrospective analysis.
  
  
  METHODS
  Nine community pharmacies in North Carolina.
  
  
  METHODS
  Three hundred and sixty-four patients who are 65 years of age or older, a Medicare Part D beneficiary and a North Carolina resident.
  
  
  METHODS
  An MTM pharmacist-provider conducted medication reviews to eligible patients between July 2009 and October 2009. For each encounter, patient interventions, pharmacist recommendations, and ECA were recorded.
  
  
  METHODS
  ECA.
  
  
  RESULTS
  In 9 pharmacy locations, 634 MTM interventions were documented during the study period. The ECA in a 4-month period yielded approximately $494 000. Comprehensive medication reviews, new prescription counseling and appropriate medication administration, and technique counseling made up nearly two-thirds of interventions. Overall, the probability that an MTM intervention would result in an ECA greater than $0 was .35.
  
  
  CONCLUSIONS
  Pharmacist-provided MTM effectively reduced costs associated with patient medication use. Such interventions reduced costs in overall health care specifically in the areas of cardiovascular, gastroesophageal reflux disease, pulmonary, and diabetes groups.
authors.affiliation: Moose Pharmacy, Concord, NC 28025, USA. ashley@moosepharmacy.com
authors.forename: Ashley R
authors.initials: AR
authors.lastname: Branham
authors.forename: Aaron J
authors.initials: AJ
authors.lastname: Katz
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Moose
authors.forename: Stefanie P
authors.initials: SP
authors.lastname: Ferreri
authors.forename: Joel F
authors.initials: JF
authors.lastname: Farley
authors.forename: Macary W
authors.initials: MW
authors.lastname: Marciniak
mesh_terms: D000368:Aged; D003157:Community Pharmacy Services / Q000191:economics*; D005260:Female; D006801:Humans; D008297:Male; D054539:Medication Therapy Management / Q000191:economics*; D010595:Pharmacists; D012189:Retrospective Studies