May 10, 2005 10:42 ET

E-Prescribing System With Decision Support Produced Significant Drug Therapy Cost Savings; Pharmacist-Directed Services for the Low-Income Elderly Increased the Value of Drug Therapy

ALEXANDRIA, VA -- (MARKET WIRE) -- May 10, 2005 -- The May 2005 issue of the Journal of Managed Care Pharmacy (JMCP) is now available in print and online. Featured articles include:

Targeted High-Cost Drugs Reduced by 17.5% Via an E-Prescribing System With Integrated Decision Support...

Over 12 months of follow-up, clinicians in primary care using an electronic prescribing (e-prescribing) system with integrated decision support had significantly lower average prescription costs per pharmacy claim and lower per-member-per-month (PMPM) drug expenditures compared with a control group. Average cost per prescription was reduced by $2.57 (5.3%) and PMPM drug cost was reduced by $1.07 (5.4%) in the e-prescribing group compared with the control group. Average drug cost savings of $863 to $873 per prescriber per month exceeded by several-fold the administrative cost of the e-prescribing system. The targeted high-cost drugs in 8 therapeutic categories were 17.5% lower in the intervention group (35.8%) compared with the control group (43.4%, P=0.03). An accompanying editorial ("Clinical, Service, and Cost Outcomes of Computerized Prescription Order Entry") expands the context to clinical and service outcomes of computerized prescription order entry (CPOE), or e-prescribing.

A Pharmacist-Directed Clinic for the Low-Income Elderly Achieved a 68% Reduction in Annual Out-of-Pocket Drug Costs; May Be a Model for Medicare Medication Therapy Management Services...

A pharmacist-directed clinic associated with a physician medical group in California achieved a 68% reduction in the average out-of-pocket cost for low-income elderly patients. Generic drug use increased a relative 9.8% in one year compared with baseline, and discontinuation of drug therapy due to cost was averted in 87% of patients at risk. An accompanying editorial ("Will Patient Need Be Satisfied?") discusses some of the implications of this pharmacist-directed clinic in the context of the medication therapy management program services contemplated in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.

The Journal of Managed Care Pharmacy is published nine times per year and is a benefit of membership in the Academy of Managed Care Pharmacy. A peer-reviewed publication of original research for pharmacy practitioners and health care providers, JMCP is approved by the National Library of Medicine and indexed in MEDLINE/PubMed. The current edition is available at:

Questions about the publication may be directed to Editor-in-Chief Frederic R. Curtiss, PhD, RPh, CEBS, at

The Academy of Managed Care Pharmacy's mission is to empower its members to serve society by using sound medication management principles and strategies to achieve positive patient outcomes. AMCP has more than 4,800 members nationally who provide comprehensive coverage and services to the more than 200 million Americans served by managed care. More news and information about AMCP can be obtained on their website,

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