What is the Medicine Use Review (MUR) and Adherence Support Service?
The Medicine Use Review (MUR) and Adherence Support Service is the first service in the Advanced level of the MOH Community Pharmacy contract. It is a one-on-one structured consultation between a pharmacist and a patient, the aim is to help the patient manage their medicines more effectively.

It involves the pharmacist reviewing the patients use of their medication, ensuring that the patient knows why they are taking them, how they should be used and to identify any problems that may affect their use. A Report Form is then provided to the prescriber with relevant feedback, as appropriate. The patient also receives a copy. After the initial consultation, a patient may have 3 more follow-ups within a 12- month period.

The Adherence Support service is part of the MUR, the pharmacist may offer this as part of the dispensing service, over and above basic interventions, in relation to safety issues with a patients prescription medicine.

An MUR provides a way to:

• Improve a patients understanding of their medicines
• Improve adherence
• Identify side effects and propose solutions where appropriate
• Reduce hospitalisations due to medicine related complications
• Reduce medicine wastage

An MUR is not:

• About making changes to medication
• A full clinical review
• About discussing a medical condition beyond what the drug is intended for
• About discussing effectiveness of treatment based on clinical test results