Ambulatory Pharmacy - Medication Management
To assist you with understanding your medications and treatments, Billings Clinic provides comprehensive medication management through our Ambulatory Pharmacy. Our clinical pharmacists work with you and your provider to identify, resolve, and prevent drug therapy problems to improve your outcomes and the quality of care you receive.
Your First Appointment with the Clinical Pharmacist
Meet Our Team
Benefits of Medication Management
- Educate you and your family members or caregivers about medications
- Manage a variety of disease states
- Ensure you are on the best medication for your condition and lifestyle
- Identify and resolve problems of your current treatment
- Manage and resolve side effects
- Monitor blood tests needed while on your medicine
- Help to lower medication costs
- Coordinate care with your provider and health care team
- Serve as a patient advocate
Primary Care Ambulatory Pharmacy
Comprehensive medication management
- Dosing and treatment review
- Drug interaction review
- Medication education
- Side effect management
- Assist in medication selection to reduce cost
Management of chronic conditions
Asthma and COPD
- Provide education on asthma and/or COPD and use of medications
- Select the most appropriate prescription medications to assist with asthma and/or COPD
- Help reduce cost and ensure medications for asthma and/or COPD are affordable
- Provide support and education on proper use of inhalers and other medications
Bariatric Medication Management
- Review and optimize medications before and after prior bariatric surgery
- Provide education on how the body uses medications and vitamins differently after bariatric surgery
Diabetes
- Provide education on diabetes and management of diabetes
- Provide education on how diabetes medications work
- Select the most appropriate prescription medications to treat diabetes
- Help reduce cost and ensure medications for diabetes are affordable
- Monitor and adjust medications to reach blood glucose goals
High Cholesterol
- Provide education on high cholesterol and use of medications
- Select the most appropriate prescription medications to assist with high cholesterol
- Provide support and education on lifestyle changes that can help lower cholesterol
- Work with patient to develop plan to improve cholesterol
Hypertension
- Provide education on high blood pressure and use of medications
- Select the most appropriate prescription medications to assist with high blood pressure
- Provide support and education on lifestyle changes that can help lower blood pressure
- Work with patient to develop plan to improve blood pressure
Pharmacogenics
- Pharmacogenomics is a subset of precision medicine that uses a patient’s genetic information to guide optimal medication selection and dosing
- Pharmacists and physicians use a patient’s pharmacogenomic information along with current medications, and medical conditions to select medications that are individualized to the patient
- This testing is often used in the field of psychiatry but is also relevant in the fields of oncology, neurology, cardiology, and pain
- Not everyone needs genetic testing. Patients who have experienced significant side effects from medications or who have tried many medications without success may benefit from pharmacogenetic testing
Smoking Cessation
- Provide education on smoking cessation and use of medications for smoking cessation
- Select the most appropriate prescription or nonprescription medication to assist with smoking cessation
- Work with patients to develop a plan to quit smoking
Service Line Specialists
Clinical pharmacists in specialty areas work with many complex systems and disease states. The specialty areas with pharmacy services include oncology, neurology, pediatrics, and cardiology. Pharmacy services include:
- Medication education
- Dosing and treatment review
- Drug interaction review
- Side effect management
- Follow up for medication tolerance and adherence
- Monitor blood tests if needed for your medicine
- Ensure you are on the best medication for your condition and lifestyle
Your First Appointment with the Clinical Pharmacist
What to Expect
Your first appointment will be a one-hour visit with the pharmacist. This appointment will include a comprehensive review of your medication use and will include prescriptions, over-the-counter medications, and supplements.
The pharmacist will identify patient-specific medication-related problems such as side effects, drug interactions, and adherence issues.
The pharmacist will create a care plan and make needed changes in drug therapy that the patient agrees to. There will be follow-up appointments with the pharmacist until the medication therapy has been optimized and the goals of the therapy have been met.
What to Bring to Your First Appointment
Please bring all of your medications, including:
- prescription medications
- inhalers and creams
- vitamins
- herbal supplements
- over-the-counter medications
Please bring a list of your allergies or a list of medicines that have caused bad reactions. Additionally, please bring a list of blood pressure and/or blood sugar readings.