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Ambulatory Pharmacy

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. 

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

Pharmacogenomics

What is pharmacogenomics?

  • 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 patients’ 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 testin

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 patient to develop plan to quit smoking

Specialists Service Line Summary

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 an hour long visit with the pharmacist. This appointment will include a comprehensive review of your medication use and will include prescriptions, over-the-counter medications as well as 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. Also bring a list of blood pressure and/or blood sugar readings.

Clinical Pharmacy Specialists


Blair White, PharmD

Blaire White, PharmD

Internal and Family Medicine - 
Billings Clinic Downtown
406-238-2500

Katrina Mayr, PharmD

Katrina Mayr, PharmD, BCACP, CPP

Internal and Family Medicine - 
Billings Clinic West
406-238-2900

Erica Hoversland, PharmD

Erica Hoversland, PharmD, BCACP, CPP

Internal and Family Medicine - 
Billings Clinic Heights
406-238-2475

Pam Danforth, PharmD, BCPS, CPP

Pam Danforth, PharmD, BCPS, CPP

Internal and Family Medicine
Regional - Cody, WY; Red Lodge, MT; Columbus, MT
307-527-1982

Presley Legerski, PharmD, BCPS, CPP

Presley Lergerski, PharmD, BCPS, CPP

Billings Clinic Cardiology - 
Billings Clinic Downtown
406-238-2040

Marie Strek, PharmD

Marie Sirek, PharmD, BCACP, CPP

Billings Clinic Medical and Gynecologic Oncology
406-435-7318

Kelley Thurman, PharmD

Kelley Thurman, PharmD

Billings Clinic Neurology and Rheumatology - 
Billings Clinic Downtown
406-435-2484

Siera Zimmerman, PharmD, BCPPS, CPP

Siera Zimmerman, PharmD, BCPPS, CPP

Billings Clinic Pediatrics -
Billings Clinic Downtown
406-435-5316

 

Ambulatory Pharmacy

Scheduling Your Appointment

To schedule an appointment, please call 406-657-5927.

Appointment Locations

Appointments are available at Billings Clinic Downtown, Billings Clinic West, Billings Clinic Heights, Billings Clinic Cody (WY) .  Pharmacists also make visits to Beartooth Billings Clinic in Red Lodge and Stillwater Billings Clinic in Columbus.   

Billing Information

Your appointments with the clinical pharmacist are covered under certain insurance plans including BCBS, MT Medicaid, and Pacific Source. Check with your insurance provider for more information or ask to speak with one of our pharmacy specialists.

Unused or Left Over Medication

If you or your family members have unused medications at home, we can help you safely dispose of them at Billings Clinic.

Drop off unused medications at:

Billings Clinic Atrium Pharmacy

2800 Tenth Avenue North Hospital Entrance (center atrium)

Our Unused Medication Disposal is located in the wall near the Atrium Pharmacy, across from Deaconess Chapel.

Ambulatory Pharmacy Mission, Vision and Values

Mission

Work in an integrated, team-based model and utilize our professional expertise to provide safe, optimal medication use to improve patient outcomes and provide quality patient-centered care.

Vision

Billings Clinic Ambulatory Pharmacy will be experts in providing patient-centered pharmaceutical care throughout our region, as leaders in medication safety, education, clinical outcomes, and champions of innovation.

Values

Pharmaceutical Care

We provide optimal, comprehensive medication review, including indication, dosing, drug interaction and side effect monitoring, and resolving drug therapy problems with a focus on ideal patient outcomes.

Education

We serve as leaders for extending the frontiers of clinical pharmacy, focusing on evidence-based recommendations to promote best practice and provide teaching and learning opportunities.

Quality and Safety

We commit to courageously working together to provide safe and reliable high-quality care, each and every time.

Our People

We foster a culture of purposeful work and continuous professional development to advance comprehensive pharmacy care.

Resource Stewardship

We advocate to provide cost-effective medications and care to our patients and aspire towards efficient medication-use processes.

Collaboration

We collaborate with the entire patient care team to establish trusted relationships with patients, providers, and caregivers.