Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, NC, USA.
J Am Pharm Assoc (2003). 2010 May-Jun;50(3):347-53. doi: 10.1331/JAPhA.2010.09021.
To determine the economic impact of cost-saving alternatives on prescription drug costs for the North Carolina Medicaid medication therapy management (MTM) program and to assess the acceptance of recommendations made by pharmacists to prescribers and the implementation of accepted recommendations.
Retrospective analysis.
92 Kerr Drug pharmacies in North Carolina from August 1, 2006, to July 31, 2007.
88 North Carolina Medicaid beneficiaries who received at least 12 prescriptions each month and who completed four quarterly medication reviews by a Kerr Drug pharmacist.
Assessed recommendations made by Kerr Drug pharmacists.
Rate of acceptance of pharmacist recommendations and overall economic impact of changing from brand-name medications to cost-saving alternatives.
Acceptance rate of pharmacist recommendations ranged from 42% to 60%. The rate at which the pharmacists' accepted recommendations were implemented at Kerr Drug pharmacy ranged from 62% to 86% across the four quarterly reviews. Overall economic impact resulted in an average cost savings of $107 per beneficiary to North Carolina Medicaid per year. Quarterly economic impact results revealed that the highest impact occurred during the first quarterly review at $63 per beneficiary.
Prescriber acceptance and pharmacy implementation of cost-savings alternatives provided an annual average cost savings of $9,444 to North Carolina Medicaid. After pharmacist reimbursement, this savings totaled $2,724.
确定节省成本的替代方案对北卡罗来纳州医疗补助处方药治疗管理（MTM）计划的处方药费用的经济影响，并评估药剂师向处方医生提出的建议的接受程度以及已接受建议的实施情况。
回顾性分析。
2006 年 8 月 1 日至 2007 年 7 月 31 日，北卡罗来纳州的 92 家 Kerr 药店。
88 名每月至少接受 12 次处方的北卡罗来纳州医疗补助受益人，并由 Kerr 药店药剂师完成了四次季度药物审查。
评估 Kerr 药店药剂师的建议。
药剂师建议的接受率和从品牌药物改为节省成本的替代药物的总体经济影响。
药剂师建议的接受率在 42%至 60%之间。在四次季度审查中，Kerr 药店接受的建议的实施率在 62%至 86%之间。总体经济影响导致每个受益人每年为北卡罗来纳州医疗补助平均节省 107 美元。季度经济影响结果显示，第一季度的影响最高，为每个受益人 63 美元。
处方医生接受和药店实施节省成本的替代方案为北卡罗来纳州医疗补助每年节省了 9444 美元的平均成本。扣除药剂师的报销后，这一节省总额为 2724 美元。
