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Related Experiment Videos

Computer-guided academic detailing as part of a drug benefit program

P W Keys1, C M Goetz, P A Keys

  • 1Clinical Pharmacy Services, Intell rx, Coraopolis, PA 15108, USA.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|October 15, 1995
PubMed
Summary

A clinical pharmacy company uses a computerized drug-use-review program to identify prescription cost savings. Interventions with physicians led to significant monthly drug cost reductions for managed care organizations.

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Area of Science:

  • Health Economics
  • Clinical Pharmacy
  • Health Services Research

Background:

  • Managed care organizations face challenges in controlling escalating drug expenditures.
  • Identifying and addressing prescribing variances is crucial for cost containment.
  • Physician prescribing patterns significantly impact overall drug costs.

Purpose of the Study:

  • To describe a service identifying drug cost-saving opportunities in managed care.
  • To detail a computerized drug-use-review program for cost reduction.
  • To evaluate the impact of pharmacist interventions on drug costs.

Main Methods:

  • A software program analyzed prescription claims data against drug-use criteria.
  • Potential cost savings were identified and ranked by drug, physician, patient, and pharmacy.

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  • Pharmacists provided academic detailing to physicians regarding cost-saving opportunities.

    • Main Results:

    • Review of 167,684 claims identified nearly $280,000 in potential drug cost savings.
    • Academic detailing resulted in over $12,000 in monthly drug cost savings for three months.
    • The program successfully targeted physicians with the highest potential for savings.

    Conclusions:

    • Computerized drug-use review effectively identifies significant drug cost-saving opportunities.
    • Targeted physician education (academic detailing) leads to measurable cost reductions.
    • Clinical pharmacy services can optimize drug spending in managed care settings.