The Alliance for Long-Term Care Pharmacy @ Home is comprised of long-term care (LTC) pharmacies, professional associations, and care management groups working together to improve the lives of individuals with complex medical needs living in the community. Collectively, the Alliance is working to improve the quality of life for these individuals — especially those with disabilities and chronic illnesses who have complex pharmacological needs. We strive to align incentives in federal policy to support care for the most complex beneficiaries. Unlike traditional pharmacies that rely on individuals to come to them, a growing number of pharmacies are taking advanced pharmacy services to the individual and supporting them every step of the way.
By operating 24 hours a day, every day of the year, LTC pharmacies are specifically designed to support medically complex patients by providing around-the-clock access, ensuring that people are on the right medications and at the right dose, providing special packaging, promoting adherence, consulting with family members and caregivers, and much more. These services help relieve the burden on staff, nurses, doctors, and caregivers, while allowing patients to remain as active members of their community.
We believe there is a fundamental need to provide flexibility in our health care system to provide patients with the option of receiving care in the setting that works best for them — while also reducing costs across the board. Our focus is on ensuring that federal health care programs recognize and reimburse for the extensive LTC pharmacy services that keep patients healthy, including those in community-based settings such as the home. These long-term care pharmacy services include (but are not limited to):
Dispensing and delivering medications (including IV medications and other specialized drug delivery formulations such as compounded drugs) under a prescription or chart order in special or compliance packaging and with appropriate accessory and cautionary instructions and expiration date, when applicable;
Timely medication delivery 24 hours a day, 7 days a week;
Pharmacist on-call availability to provide dispensing and clinical services 24 hours a day, 7 days a week including via telehealth (when applicable);
Drug utilization reviews, including at least monthly medication adherence checks; and
Medication regimen reviews at least monthly to identify potential adverse drug reactions and inappropriate drug usage (such as excessive or duplicative dosing, excessive duration, without adequate monitoring, without adequate indications for its use, or in the presence of adverse consequences indicating that the drug should be reduce or discontinued).