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It Costs How Much? Assessing Preceptor Opinions on Student Medication Cost-Conscious Care Knowledge
Abstract   Peer reviewed

It Costs How Much? Assessing Preceptor Opinions on Student Medication Cost-Conscious Care Knowledge

Morgan Herring, Ginelle Bryant, Eliza Dy-Boarman, Julie Urmie and Margaret Fiala
American journal of pharmaceutical education, Vol.89(11), 101662
11/2025
DOI: 10.1016/j.ajpe.2025.101662
url
https://doi.org/10.1016/j.ajpe.2025.101662View
Published (Version of record) Open Access

Abstract

Objective: The primary objective was to assess preceptors' opinions of advanced pharmacy practice experience (APPE) student knowledge of medication cost-conscious care. It was hypothesized preceptors would report a lack of student knowledge regarding common medication cost-conscious care issues. Methods: A cross-sectional descriptive study was conducted at two schools of pharmacy. APPE ambulatory care and community practice preceptors were invited to participate. Preceptors rated their average APPE student’s knowledge, skills, and abilities on each of the topics related to providing cost-conscious care. Preceptors were asked to prioritize educational topics that they felt should be taught to pharmacy students along with where these topics best fit in the curriculum. Results: Fifty-one survey responses were included in the analysis. Preceptors disagreed with all statements regarding whether their students have the knowledge, skills and abilities to provide cost-conscious care, with the strongest levels of disagreement for 340B program knowledge and DME knowledge. The top prioritized educational topics were insurance payment structures like deductibles and coverage phases/gap (51%), durable medical equipment prescription requirements/billing (38%), and prior authorization guidelines and requirements (29%). Preceptors provided mixed thoughts on whether cost-based education is best taught in the didactic curriculum (27%), introductory pharmacy practice experiences (22%), APPEs (29%) or on the job (22%). Conclusions: The respondents to this descriptive pilot study felt students lacked the knowledge, skills or abilities to provide medication cost-conscious care to patients. Future studies should focus on exploring the most effective ways to train students on medication cost-conscious care topics as well as the best timing for this learning to take place.

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