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Asthma Medication Ratio (AMR)

HEDIS Measure

Asthma Medication Ratio (AMR)

Line of business: Commercial Medicaid

Data Collection Method: Administrative

Measure Description

The percentage of members 5–64 years of age who were identified as having persistent asthma and had a ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year.

Numerator Compliance

The number of members who have a medication ratio of 0.50 or greater during the measurement year.

Follow the steps below to calculate the ratio.

  • Step 1 - Count the units of asthma controller medications dispensed during the measurement year.
  • Step 2 - Count the units of asthma reliever medications dispensed during the measurement year.
  • Step 3 - Sum the units calculated in step 1 and step 2 to determine units of total asthma medications.
  • Step 4 - Calculate the ratio of controller medications to total asthma medications using the following formula. Round (using the .5 rule) to the nearest whole number.
  • Units of Controller Medications (step 1) divided by
  • Units of Total Asthma Medications (step 3)
  • Step 5 - Compliant members who have a ratio of 0.50 or greater in step 4.

Best Practices

  • Develop an Asthma Action Plan
  • Educate members on the importance of adhering to medications and reducing asthma triggers
  • Advise members to incorporate inhalers into their daily routine
  • Reach out to members to schedule follow-up visits for the condition

Asthma Controller Medications

Description Prescriptions MEDICATION LISTS Route
Antiasthmatic combinations Dyphylline-guaifenesin Dyphylline Guaifenesin Medications List Oral
Antibody inhibitors Omalizumab Omalizumab Medications List Injection
Anti-interleukin-4 Dupilumab Dupilumab Medications List Injection
Anti-interleukin-5 Benralizumab Benralizumab Medications List Injection
Anti-interleukin-5 Mepolizumab Mepolizumab Medications List Injection
Anti-interleukin-5 Reslizumab Reslizumab Medications List Injection
Inhaled steroid combinations Budesonide-formoterol Budesonide Formoterol Medications List Inhalation
Inhaled steroid combinations Fluticasone-salmeterol Fluticasone Salmeterol Medications List Inhalation
Inhaled steroid combinations Fluticasone-vilanterol Fluticasone Vilanterol Medications List Inhalation
Inhaled steroid combinations Formoterol-mometasone Formoterol Mometasone Medications List Inhalation
Inhaled corticosteroids Beclomethasone Beclomethasone Medications List Inhalation
Inhaled corticosteroids Budesonide Budesonide Medications List Inhalation
Inhaled corticosteroids Ciclesonide Ciclesonide Medications List Inhalation
Inhaled corticosteroids Flunisolide Flunisolide Medications List Inhalation
Inhaled corticosteroids Fluticasone Fluticasone Medications List Inhalation
Inhaled corticosteroids Mometasone Mometasone Medications List Inhalation
Leukotriene modifiers Montelukast Montelukast Medications List Oral
Leukotriene modifiers Zafirlukast Zafirlukast Medications List Oral
Leukotriene modifiers Zileuton Zileuton Medications List Oral
Methylxanthines Theophylline Theophylline Medications List Oral

Asthma Reliever Medication

Description Prescriptions MEDICATION LISTS Route
Short-acting, inhaled beta-2 agonists Albuterol Albuterol Medications List Inhalatio
Short-acting, inhaled beta-2 agonists Levalbuterol Levalbuterol Medications List Inhalation