LTC@Home

Long-Term Care at Home: The Expanding Role of Pharmacies

As more patients choose to age in place and manage chronic conditions from the comfort of home, pharmacies are becoming a vital part of the long-term care at home model. Traditionally focused on dispensing medications, pharmacies are now evolving into community health partners — helping patients stay healthy, independent, and supported outside of institutional settings.

By participating in long-term care at home, your pharmacy can play a leading role in improving health outcomes, reducing hospital readmissions, and strengthening patient relationships.

What Is Long-Term Care at Home?

Long-term care at home refers to a coordinated system of medical, personal, and social support provided over an extended period to individuals with chronic illnesses, disabilities, or age-related challenges — all delivered within their own homes.

While caregivers, nurses, and home health aides handle daily care needs, pharmacies provide the clinical and logistical backbone that keeps patients safe, adherent, and well-managed.

Why Pharmacies Are Essential to Long-Term Home Care

Pharmacies serve as the most accessible healthcare touchpoint in the community. By integrating into the long-term care at home model, they can:

  • Support medication adherence through packaging solutions, delivery, and synchronization.

  • Offer medication therapy management (MTM) to optimize treatment plans and prevent adverse drug events.

  • Collaborate with care teams (physicians, nurses, caregivers) to coordinate medication changes and clinical updates.

  • Provide clinical services at home, such as vaccinations, health screenings, and chronic disease monitoring.

  • Enhance patient engagement through education, follow-up calls, and digital health tools.

Pharmacy Services That Support Long-Term Care at Home

1. Medication Synchronization & Packaging

Ensure patients receive all their medications at once, organized in easy-to-follow blister packs or pouches. This reduces confusion and promotes adherence for seniors and individuals managing multiple prescriptions.

2. Home Delivery and Refill Management

Timely medication delivery directly to patients’ homes supports continuity of care, particularly for those with mobility or transportation challenges.

3. Medication Therapy Management (MTM)

Pharmacists review medications for interactions, duplications, and effectiveness — working closely with prescribers to optimize care plans.

4. Clinical Support and Monitoring

Pharmacies can offer in-home or remote monitoring for chronic conditions such as diabetes, hypertension, or COPD, ensuring early intervention and improved outcomes.

5. Vaccinations and Preventive Care

Providing immunizations and routine health screenings in-home or through mobile services helps protect vulnerable patients and reduces hospital visits.

6. Education and Counseling

Pharmacists provide guidance to patients and caregivers on medication use, potential side effects, and safe storage, empowering them to manage care confidently at home.

Benefits of Pharmacy Participation in Long-Term Home Care
  • Expanded clinical reach beyond the pharmacy counter

  • Stronger patient relationships and improved retention

  • New revenue streams through clinical services and care coordination

  • Reduced hospital readmissions through proactive medication management

  • Enhanced collaboration with healthcare providers, home health agencies, and insurers

  • Improved community health outcomes by supporting patients where they live

The Future of Pharmacy in Home-Based Care

As healthcare shifts toward personalized, community-based models, pharmacies have an unprecedented opportunity to lead the transformation. By embracing long-term care at home, pharmacies not only expand their role but also help shape a system focused on accessibility, prevention, and holistic patient well-being.

Your pharmacy can be the bridge between clinical care and home comfort — ensuring every patient receives the right care, at the right time, in the right place.

What does a pharmacy need to do to participate in a program and be in position to get paid the long term care rate for these services once rates are negotiated with the PBMs/PDPs?

Pharmacies must follow Long Term Care Performance and Service Criteria as follows:

  1. Comprehensive Inventory and Inventory Capacity
  2. Pharmacy Operations and Prescription Orders
  3. Special Packaging
  4. IV Medications
  5. Compounding/Alternate Forms of Drug Composition
  6. Pharmacist On-Call Service
  7. Delivery Service
  8. Miscellaneous Reports, Forms, and Prescription Ordering Supplies

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