Effect of Local Competition on the Willingness of Community Pharmacies to Supply Medication Therapy Managemant Services
JOHN M. BROOKS, DONALD G. KLEPSER, JULIE M. URMIE, KAREN B. FARRIS, and WILLIAM R. DOUCHETTE
JHHSA, Vol. 30 No. 1, (2007)
The Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA) provides a prescription drug
benefit for Medicare-eligible seniors that includes access to medication
therapy management services (MTMS) through pharmacists. We
theorize that local community pharmacy market competition affects the
decision of individual community pharmacies to provide MTMS. Our
model suggests that MTMS services are more apt to be supplied in
markets at the extremes of community pharmacy concentration (very
low and very high). We found that local community pharmacy
competition affected the service choices made by the pharmacy
decision-makers willing to provide MTMS in a manner consistent with
our theory. As a result, patient access to MTMS services depends on
both (1) patient access to pharmacies willing to provide MTMS and (2)
the level of local community pharmacy competition.
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