2026 Southeastern Residency Conference

Clearing the Air: Impact of a Pharmacist-led Pulmonary Medication Management Clinic 
 
Chloe Warren, Christopher Rogers, Lauren Young, Danielle Dennis, Sabrina Fineberg, Dana Walters, Kellie Ball 
University of Tennessee Medical – Knoxville, TN 
 
Purpose: To evaluate the impact of a pharmacist-led medication management clinic, providing patient education and specialty medication access support in the setting of high costs, insurance and PBM restrictions, and limited pharmacy networks that contribute to treatment delays 

Methods: This retrospective chart review consists of 172 patients who are active patients with the pharmacist-led medication management clinic services between December 2023 and June 2025. Eligible patients were 18 years or older, had at least one documented visit with a clinical pharmacist, carried a diagnosis of asthma, chronic obstructive pulmonary disease, or interstitial lung disease, and were referred by a pulmonologist for medication education and access assistance. The primary outcome looked at the percentage of days covered for medications filled at a health-system specialty pharmacy. Secondary outcomes included the total time to treatment measured in days. Additional data collection included the pulmonary disease state of the patient and initial visit billing code utilized. 

Results: Overall, 90.6% of patients achieved greater than 90% of days covered (PDC), which is above the standard metric of 80% for specialty medication adherence. As for the secondary outcome, the average time to treatment was 2.17 days.  

Conclusion: Overall, this study reinforces the expanding role of clinical pharmacists in specialty care delivery models. By addressing both clinical and administrative barriers, pharmacists are uniquely positioned to improve access, adherence, and overall quality of care for patients receiving specialty medications. Their involvement not only supports patients but also alleviates workload burdens for providers and enhances coordination across the healthcare system.

Link: https://docs.google.com/document/d/e/2PACX-1vS6hc93X09DzHIrP9LAM05FIvxd6iYh9am_wF7kl1NMMFZyVzSKUCQQS2gGv_oCROiAuk2Ht5MxuwF-/pub