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Vol 273 No 7329 p844
11 December 2004

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US pharmacists call on congress to expand older patients’ medication management services

US pharmacists are calling on congress in Washington DC to allow them to provide comprehensive medication management services to all patients in the Medicare health system. Medicare provides health care for those over the age of 65 years.

A law passed last year will mean that certain patients will be entitled to limited medication management services from January 2006. Patients with multiple chronic diseases, multiple drug therapies and high cost drugs are among those included. Pharmacy is currently only regarded as a supply service but the changes that are being requested would mean that pharmacists would be added to the list of recognised health care providers (which includes physicians, nurse practitioners, dentists, etc) as well as providing reimbursement for medication management services to all patients.

Assessing a patient’s health status, formulating a treatment plan, selecting, initiating and modifying medication therapy and performing a medication review are all services that a consensus document of American pharmacy organisations has defined as being part of medication therapy management.

At the American Society of Health-System Pharmacists mid-year clinical meeting in Orlando, Florida, on 6 December, T. Mark Woods, ASHP president, said he hoped that legislation would be passed in the next session of congress to make these plans a reality.

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