Medication Appropriateness Index (MAI)

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  1. Is there an indication for the drug?
     
    Yes: 0 points     No: 3 points



  2. Is the medication effective for the condition?

    Yes: 0 points     No: 3 points



  3. Is the dosage correct?

    Yes: 0 points     No: 2 points


  4. Are the directions correct?


    Yes: 0 points     No: 2 points

  5. Are the directions practical or capable of being put into practice?

    Yes: 0 points     No: 2 points


  6. Are there clinically significant drug-drug interactions?

    Yes:  2 points     No: 0 points


  7. Are there clinically significant drug-disease/condition interactions?

    Yes: 1 point    No: 0 points

  8. Is there unnecessary duplication with other drug(s)?

    Yes: 1 point     No: 0 points


  9. Is the duration of therapy acceptable?

    Yes: 0 points     No: 1 point


  10. Is this drug the least expensive alternative compared to others of
    equal utility?

    Yes: 0 points     No: 1 point
  1. Samsa GP, Hanlon JT, Schmader KE, Weinberger M, Clipp EC, Uttech KM, Lewis IK, Landsman PB, Cohen HJ. A summated score for the medication appropriateness index: development and assessment of clinimetric properties including content validity. J Clin Epidemiol. 1994;47:891–896.
  2. Hanlon J, Schmader K, Samsa G, Weinberger M, Uttech KM, Lewis IK, Cohen HJ, Feussner JR. A method for assessing drug therapy appropriateness. J Clin Epidemiol. 1992;45:1045-1051.

  3. West, LM., Cordina, M. & Cunningham, S. Clinical pharmacist evaluation of medication inappropriateness in the emergency department of a teaching hospital in Malta. Pharmacy Practice 2012;10 (14) 181-187.