Method and system for point-of-dispensing management of anticoagulation agent therapy

In a point-of-sale establishment, a method of managing an anticoagulation agent therapy for a subject, comprising the steps of:

• a) reviewing an anticoagulation regimen prescribed by a health care practitioner for a subject;
• b) enrolling the subject into an anticoagulation therapy program, the program including dispensing of an anticoagulation agent, as well as one or more non-anticoagulation agents that the subject intends to take or is taking;
• c) assessing any sign or symptom of anticoagulation therapy-related complication in the subject;
• d) determining any potential interaction of the anticoagulation agent with one or more non-anticoagulation agents;
• e) evaluating in real time any need to adjust the anticoagulation regimen prescribed by the health care practitioner based on a determination made in one or both steps c) and d);
• and
• f) adjusting in real time, if needed, the anticoagulation regimen to maintain the subject's International Normalized Ratio (INR) level within a desired range.

A retail pharmacist-managed, anticoagulation agent therapy method for a subject, the method comprising the steps of:

• a) reviewing an anticoagulation regimen prescribed by a health care practitioner for a subject;
• b) enrolling the subject into an anticoagulation therapy program, the program including dispensing of an anticoagulation agent, as well as one or more non-anticoagulation agents that the subject intends to take or is taking while in the program;
• c) conducting a test to determine whether an International Normalized Ratio (INR) level for the subject is sub-therapeutic, therapeutic, or supra-therapeutic;
• d) assessing any sign or symptom of anticoagulation therapy-related complication in the subject;
• e) determining any potential interaction of the anticoagulation agent with one or more non-anticoagulation agents;
• f) evaluating in real time any need to adjust the anticoagulation regimen prescribed by the health care practitioner based on a determination made in one or more steps c), d) and e);
• and
• g) adjusting in real time, if needed, at the discretion of the pharmacist, the anticoagulation regimen to maintain the subject's INR level within a desired range.

A method for point-of-dispensing management of an anticoagulation agent therapy for a subject, the subject having already been enrolled in a therapy program, the method comprising the steps of:

• a) determining an International Normalized Ratio (INR) level for the subject;
• b) determining any potential interaction of the anticoagulation agent with one or more non-anticoagulation agents that the subject intends to take or is taking;
• c) evaluating in real time any need to adjust the anticoagulation therapy based on a determination made in one or both steps a) and b);
• and
• d) adjusting in real time, if needed, the anticoagulation therapy to maintain the subject's INR level within a desired range.

In a point-of-sale establishment, a method of managing an anticoagulation agent therapy for a subject, the subject having already been enrolled in a therapy program, the method comprising the steps of:

• a) assessing any sign or symptom of anticoagulation therapy-related complication in the subject;
• b) determining in real time any potential interaction of the anticoagulation agent with one or more non-anticoagulation agents that the subject intends to take or is taking;
• c) evaluating in real time any need to adjust the anticoagulation therapy based on a determination made in one or both steps a) and b);
• and
• d) adjusting in real time, if needed, the anticoagulation therapy to maintain the subject's International Normalized Ratio (INR) level within a desired range.