Implementation of a Pilot Pharmacist Testosterone Therapy Management Service.

Journal of Pharmacy Practice
Michael W NagyMacy McConnell

Abstract

Recent literature findings suggest that opportunities exist to optimize testosterone replacement therapy management. To evaluate the impact of a pilot clinical pharmacist testosterone therapy management service in a Veterans Affairs primary care setting. A 6-month, single-clinic, prospective cohort quality improvement project included male patients with an active prescription for testosterone. Patients were excluded if they switched primary care providers or were managed by a specialty clinic. After diagnosis, primary care providers had the option of referring patients for clinical pharmacist testosterone replacement therapy management. The project investigated the impact of pharmacist management on adherence to guideline-defined baseline and therapeutic monitoring, prior authorization workload, time saved by primary care providers, and clinical pharmacist interventions. Sixty patients split between pharmacist management (N = 35) and nonpharmacist management (N = 25) cohorts. Monitoring of baseline parameters was significantly improved with clinical pharmacist management (54% vs 20%, P = 0.0006). Improved baseline monitoring decreased prior authorization team workload as requests were approved on the first submission at a highe...Continue Reading

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Citations

May 31, 2020·Basic & Clinical Pharmacology & Toxicology·George Castle, John Stammers

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Methods Mentioned

BETA
Replacement

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