AI Article Synopsis

  • - The study aimed to assess whether having a clinical pharmacy team improved patient access to CFTR modulators by reviewing medical records from 2012 to 2018 at the University of Iowa Hospitals and Clinics (UIHC).
  • - Results showed that the time between prescription and prior authorization submission significantly decreased from 12.5 days to 3.5 days after implementing clinical pharmacy services, indicating faster access for patients.
  • - The analysis also revealed that prescriptions filled by the UIHC Specialty Pharmacy had a much shorter prior authorization submission time compared to a non-UIHC pharmacy, emphasizing the benefits of integrated pharmacy support in cystic fibrosis care.

Article Abstract

Background: This study was undertaken to determine if the presence of a clinical pharmacy team impacted patients' access to cystic fibrosis transmembrane conductance regulator (CFTR) modulators.

Methods: A retrospective chart review of electronic medical records from the University of Iowa Hospitals and Clinics (UIHC) was conducted. Data were collected regarding the timing of prior authorization (PA) submissions and approvals from 2012 to 2018. The Wilcoxon rank-sum test was used to compare the meantime (days) between prescription and PA submission dates, and PA submission and approval date for all patients included in the analysis. Comparisons were made for pre- and postpharmacy services eras as well as the UIHC Specialty Pharmacy versus a non-UIHC Specialty Pharmacy.

Results: Sixty-three patients were included in the final analysis. The average time between prescription date and PA submission was 12.5 days (standard deviation [SD] = 17.4 days) in the preclinical pharmacy services era and 3.5 days (SD = 5.8 days; P = .028) in the postclinical pharmacy services era. The average time to PA submission significantly decreased from 9.8 days (SD = 13.1 days) to 1.3 days (SD = 4.2 days; P < .0001) when prescriptions were filled by the UIHC Specialty Pharmacy vs a non-UIHC Specialty Pharmacy.

Conclusions: There was a significant benefit to CFTR modulator prescribing when clinical pharmacy services were incorporated in our cystic fibrosis (CF) care team, which will become increasingly important with the anticipation of new CF medications in the near future.

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Source
http://dx.doi.org/10.1002/ppul.24446DOI Listing

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