Table 3.

Type and number of pharmacist interventions

Type of Pharmacist Intervention	Number of Pharmacist Interventions	% of pharmacist interventions per patient population
Clarifying medication regimen	13	24.1%
Reviewing indication	16	29.6%
Reviewing dosage/direction	15	27.8%
Instruction on duration of therapy	25	46.3%
Reviewing adverse drug reaction	27	50.0%
Instruction on Adherence/Screening for barriers to adherence	30	55.6%
Reviewing drug/food interaction	3	5.6%
Providing drug information	40	74.1%
Ensuring the sufficient supply of medication	19	35.2%
Others	5	9.3%
Total	192	100%

Others: checked follow-up with physician, recommended INR level monitor or advised to discuss