Table 1.

Possible Interventions That Can Be Documented by the Pharmacist for Each Medication

ADHERENCE ISSUES			FINANCIAL ISSUES
SKILLS/UNDERSTANDING	SOCIAL FACTORS	COST/SIDE EFFECTS/ACCESS
A challenge managing their multiple providers	A concern with the monitoring of their treatment	A challenge with access to care	Recommended a switch to a generic alternative
A health literacy issue	A lack of motivation	A challenge with continuity of care	Recommended a switch to a 90-day supply
A lack of knowledge about their illness	A relationship challenge with their provider	A challenge with the availability of health care professionals	Recommended a switch to a therapeutic alternative
A lack of knowledge about their therapy	A social/family support challenge	A problem with the intrusiveness of their medication regimen	Recommended a prescription for an OTC medication
A challenge in using their device	Limiting lifestyle factors	A problem with the pill burden of their medication regimen	Recommended an OTC medication
A communication skills challenge	Negative beliefs about the health care system	A problem with the specificity of their medication regimen	Found the same medication cheaper at an alternative pharmacy
A lack of confidence in their own capabilities	Psychological problems	A challenge with the cost of their medication regimen	Identified a copay assistance card
A problem with forgetfulness		A nonmanageable adverse event/side effect	Discontinued the medication
Physical difficulties		A potential prescribing error	Recommended a switch to an alternative dose
		Manageable adverse events/side effects	Recommended a switch to an alternative frequency
		A nonmanageable adverse event/side effect	Recommended a switch to a combination therapy

OTC, over-the-counter.