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Revised January, 2010 CONFIDENTIAL AND PROPRIETARY - page 27 / 31

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CONFIDENTIAL AND PROPRIETARY

these interventions also target the potentially inappropriate usage of certain medications in patients 65 years and older. These recommendations are based on reputable sources such as Beers’, Zhan’s and McLeod’s lists, as well as using prescribing information specific to the elderly.

Overutilization or Duration of Therapy

These interventions identify patients who are over utilizing certain medications (e.g., opioids) and who may be receiving prescriptions from multiple prescribers and/or pharmacies. These interventions also help to identify patients who are receiving medications for extended periods of time than may be inappropriate. Our goals are to improve patient care and appropriate use, and deter the costs and adverse clinical outcomes associated with the abuse of prescription medications.

High Dose

These interventions identify patients who are exceeding the recommended maximum daily dose of a medication.

Underutilization

These interventions identify patients who may be noncompliant with their maintenance Medication.

Therapeutic Duplication

These interventions identify patients who are receiving two or more agents from the same therapeutic class of medications.

MedMonitor®XR

Targeted patients, targeted careSM.

MedMonitor®XR is the next generation medication therapy management program that helps contain payors’ drug spend and other healthcare costs while improving their members’ well-being.

Medication Therapy Management (MTM) seeks to optimize therapeutic outcomes and help reduce the risk of adverse medication events through ongoing review of patient medication records and consultation through patient interviews. In recognition of the value that MTM provides in improving member outcomes and managing overall health cost, CMS mandated that the delivery of these services commence in 2006 for Medicare Prescription Drug coverage. Our MedMonitorXR program actively manages members with the most complex medication profiles that account for a disproportionate

Walgreens Health Initiatives – Pharmacy Manual

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