1. Medication Appropriateness Index.
| To assess the appropriateness of the drug, please answer the following questions and circle the applicable score. | |||||
| 1. Is there an indication for the drug? Comments: |
1 | 2 | 3 | 9 DK | |
| Indicated | Not Indicated | ||||
| 2. Is the medication effective for the condition? Comments: |
1 | 2 | 3 | 9 DK |
|
| Effective | Ineffective | ||||
| 3. Is the dosage correct? Comments: |
1 | 2 | 3 | 9 DK |
|
| Correct | Incorrect | ||||
| 4. Are the directions correct? Comments: |
1 | 2 | 3 | 9 DK |
|
| Correct | Incorrect | ||||
| 5. Are the directions practical? Comments: |
1 | 2 | 3 | 9 DK |
|
| Practical | Impractical | ||||
| 6. Are there clinically significant drug‐drug interactions? Comments: |
1 | 2 | 3 | 9 DK |
|
| Insignificant | Significant | ||||
| 7. Are there clinically significant drug‐disease/condition interactions? Comments: |
1 | 2 | 3 | 9 DK |
|
| Insignificant | Significant | ||||
| 8. Is there unnecessary duplication with other drug(s)? Comments: |
1 | 2 | 3 | 9 DK |
|
| Necessary | Unnecessary | ||||
| 9. Is the duration of therapy acceptable? Comments: | 1 | 2 | 3 | 9 DK |
|
| Acceptable | Unacceptable | ||||
| 10. Is this drug the least expensive alternative compared with others of equal utility? Comments: |
1 | 2 | 3 | 9 DK |
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| Least expensive | Most expensive | ||||
DK: Don't know