Medication Synchronization

What type of pharmacy are you?

Chain

Independent

Mail Order

Compounding

Specialty

Other

What zip code is your pharmacy located at?

Do you currently have a medication synchronization program available for patients?

Yes

No

If you answered no to question 2 or if you have not considered implementing such a program, what has deterred you from implementing a medication synchronization program?

Time Requirements

Technology Requirements

Lack of patient interest

Lack of patient need

Other

If you do currently have a medication synchronization program, how does it fit into your normal procedures?

Part of the regular computer program

Separate computer program

Paper based calendar synchronization

Manual synchronization by pharmacy staff

Other

If you do currently have a medication synchronization program, how do patients sign up for the program?

Signing a form

Online

Verbal Request

Other

If you do currently have a medication synchronization program, what benefits have you seen for patients?

Refills on time

Patients verbalized understanding of medication and administration

Fewer trips to the pharmacy

Fewer phone calls with questions

Verbal satisfaction

Other

If you do currently have a medication synchronization program, what disadvantages have you seen for patients?

Time to implement program

Insurance problems

Out of pocket costs

Frequent medication changes so difficult to remain synchronized

Other

If you do currently have a medication synchronization program, what benefits have you seen for the pharmacy?