Pharmacist Managed Anticoagulation Management Service

Key points

  • Mercy Health offers anticoagulation management services through pharmacist-run clinics in both the Muskegon and Grand Rapids areas
  • A referral from the provider is required for the patient to participate. The referral form and services offered differ by region, so be sure to select the appropriate form based on location:
    • Muskegon area
    • Grand Rapids area

What are the benefits of using an anticoagulation clinic?

  • Utilize simple finger stick methods of blood collection & provide immediate results that are managed by the pharmacist at the time of visit
  • Improve safety by providing extensive patient education during appointments
  • Provide written instruction to the patient at each visit including dosing schedule, next appointment, and a list of current medications

What are the benefits of pharmacist provided anticoagulation management?

The pharmacist performs the following activities when managing anticoagulation therapy:

  • Assistance in choosing or verifying that the most appropriate anticoagulant is ordered
  • Verifying appropriate dose of anticoagulant is selected based on specific patient characteristics
  • Providing direction of when to hold medication based on to lab results or scheduled procedures that may require bridging
  • Monitoring adherence to therapy
  • Monitoring kidney and liver function
  • Sending refills to the outpatient pharmacy
  • Providing education to the patient related to anticoagulation therapy & management

Clinic locations and services offered:

Muskegon area anticoagulation clinics:

Referral form available here

Contact Information

Hours: 8:00am-5:00pm
Phone: (231) 672-3648
Fax: (231) 672-3838


Mercy Heart Center
1212 E. Sherman Boulevard
Muskegon, MI 49444

Mercy Health Lakes Village
6401 Prairie Street
Norton Shores, MI 49444

Mercy Health Physician Partners
2006 Holton Road
North Muskegon, MI 49445

Mercy Health Physician Partners
5656 West US Highway 10
Ludington, MI 49431

Medication Services Available

  • Coumadin® (warfarin)
  • Eliquis® (apixaban)
  • Xarelto® (rivaroxaban)
  • Pradaxa® (dabigatran)
  • Savaysa® (edoxaban)

Grand Rapids area anticoagulation clinics:

Referral form available here

Contact Information

Hours: 8:30am-5:00pm
Phone: (616) 685-6383
Fax: (616) 685-3057


Saint Mary’s Campus – Wege Building
300 Lafayette Avenue SE
Grand Rapids, MI 49503

Southwest Campus
2372 64th Street SW
Byron Center, MI 49315

Medication Services Available

  • Coumadin® (warfarin)

One Response to “Pharmacist Managed Anticoagulation Management Service”

  1. Followgram

    A prospective randomized control study is generally considered the gold standard for evaluating therapeutic interventions. However it may not be the optimal method to assess this type of intervention as it is difficult to minimize observation biases. As all groups are aware of the intervention, their behaviours may be influenced accordingly in a prospective randomized trial. For example, physicians who are aware they are participating in a clinical trial may be more vigilant about monitoring anticoagulation care than in their routine practice. A well designed retrospective study may be the next best method. In our study, all eligible patients were included in the data collection, and the two groups were comparable, reducing any selection biases. This study evaluated the anticoagulation management practices in one family medicine clinic. Our patient population was similar to that in other studies evaluating anticoagulation management; consequently, our findings may be generalizable to other similar populations.


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