A systematic assessment of patient-specific information including all medication therapies to identify medication therapy problems, develop a prioritized list of medication therapy problems, and create a patient-specific plan to resolve medication therapy problems.

The ability to actively screen patients for educate on, and provide the following ACIP recommended immunizations (or at a minimum refer to another provider) influenza, pneumococcal (both conjugate and polysaccharide), Tdap, and herpes zoster immunizations.

Upon referral, the process of comparing a patient’s medication orders to all of the medications that the patient has been taking (active, chronic PRN, and OTC including herbal) to avoid medication errors. 

The proactive process of timing a patient’s routine refills with a pharmacist’s clinical disease state management and monitoring for progression toward desired therapeutic goals. The purpose of medication synchronization is to ensure that patients are refilling and taking their medications as prescribed and to ensure that patients are achieving therapeutic goals with safe and effective medications. This process is not to be confused with automatic refill. This service also includes the creation of a personal medication record (PMR).  A PMR is a comprehensive record of the patient’s active medications (prescription and nonprescription medications, herbal products, and other dietary supplements).