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Outpatient medication assistance program in a rural setting.

Gary N Harmon1, John Lefante, Wendy Roy

  • 1Department of Biostatistics, School of Public Health and Tropical Medicine, Tulane University, Suite 2001, 1440 Canal Street, New Orleans, LA 70112-2715, USA. gharmon@tulane.edu

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|April 6, 2004
PubMed
Summary

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The Central Louisiana Medication Access Program (CMAP) successfully provided affordable prescription medications and vital medication education to over 5,000 rural residents. This initiative significantly reduced medication costs for underserved populations, exceeding $2.5 million in savings.

Area of Science:

  • Health Services Research
  • Rural Health
  • Medication Access

Background:

  • Rural populations face significant barriers to accessing affordable healthcare and prescription medications.
  • Underserved communities often struggle with the financial burden of managing chronic conditions.

Purpose of the Study:

  • To describe the implementation and outcomes of a medication assistance program for the rural poor in central Louisiana.
  • To evaluate the effectiveness of the Central Louisiana Medication Access Program (CMAP) in improving medication access and affordability.

Main Methods:

  • The Central Louisiana Medication Access Program (CMAP) was established in 2001, serving patients at a state-run public hospital's outpatient clinic.
  • Patients received prescription drugs for chronic conditions at a minimal processing fee ($3 per prescription, max $15 per visit).

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  • Pharmacist-led medication counseling was provided, with medications funded by the program and pharmaceutical assistance programs.

    • Main Results:

    • Between May 2001 and March 2003, 5,307 patients were enrolled in CMAP.
    • Over 140,000 prescriptions were dispensed, resulting in cost savings exceeding $2.5 million for patients.
    • The program successfully provided essential medications and counseling to a needy rural population at a low cost.

    Conclusions:

    • The CMAP demonstrated a successful model for delivering affordable prescription medications and education to rural, low-income populations.
    • The program significantly reduced the financial burden of medication costs for individuals with chronic conditions.
    • Medication assistance programs are crucial for improving health equity in underserved rural areas.