Community Pharmacy Enhanced Dispensing Model to Improve Medication Access for Rural Patients Living with HIV

  • Dr. Anushka Burde Idaho State University
  • Dr. Shanna K O'Connor Idaho State University
  • Dr. David Hachey Idaho State University
Keywords: Medication Adherence and Persistence; Underserved Communities; HIV/AIDS; Community Pharmacy


Objective: To demonstrate the utility of a community pharmacy-centric workflow for improving access to medications for high-risk, rural persons living with HIV (PLWH) in partnership with a Federally Qualified Health Center (FQHC).

Setting: University-sponsored independent community pharmacy and rural FQHC providing care to PLWH.

Practice Description: Patient-centered Pharmacy Program is a service designed to improve access to HIV medications for PLWH in rural Idaho. The service is delivered in partnership with a 340B-covered entity (FQHC).

Practice innovation: The workflow for the service in the community pharmacy is described in detail, including time assessments and descriptions of tools and forms developed for rollout.

Evaluation: Quality improvement initiatives over three years are described.

Results: This service ensures medication access for rural PLWH and is sustainable for the community pharmacy. Expansion of services is feasible for the future.

Conclusion: This partnership may be one that could be implemented at other rural, independent community pharmacies seeking to have outreach to rural patients with chronic medication needs.


Article Type: Clinical Experience

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Received 2019-09-25
Accepted 2019-11-01
Published 2019-11-19
Pharmacy Practice & Practice-Based Research