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Domiciliary Medication Management Review (DMMR)

This page provides general educational information about Domiciliary Medication Management Reviews within the Australian health system. It is not medical advice. Health system rules, funding arrangements, and eligibility criteria change over time. Official government sources prevail. Clinical decisions are made by healthcare professionals. This website does not determine access, eligibility, or entitlement, and no professional relationship is created by using this site.

 

What this is

A Domiciliary Medication Management Review (DMMR) is a structured review of a person’s medicines conducted in their home.

 

It generally involves:

  • A referral from a general practitioner

  • A comprehensive review of prescribed, over-the-counter, and complementary medicines

  • Assessment of how medicines are taken and stored

  • Identification of possible medicine-related problems

  • A written report back to the referring GP

The review is typically performed by an accredited pharmacist and is sometimes referred to as a “Home Medicines Review”.

 

Why it exists

Many people, particularly those with multiple health conditions, take several medicines at the same time.

A DMMR aims to:

  • Improve safe and effective use of medicines

  • Reduce the risk of medicine interactions or adverse effects

  • Support understanding of how and when medicines are taken

  • Enhance communication between the pharmacist and general practitioner

It is part of Australia’s broader approach to quality use of medicines.

 

How it works in practice

In general:

  • A general practitioner assesses whether a DMMR is clinically appropriate.

  • If appropriate, the GP provides a referral to an accredited pharmacist.

  • The pharmacist conducts a home visit and reviews all medicines.

  • A written report is sent to the GP.

  • The GP discusses any recommendations with the patient and decides on any changes.

Clinical decisions about medicine changes are made by the treating medical practitioner.

 

Funding and system structure

DMMRs operate within the Medicare-funded primary care system and are supported under national medication management programs.

In general:

  • The Australian Government funds Medicare and related medication review programs.

  • General practitioners and pharmacists may claim Medicare benefits for eligible services.

  • Patients may incur out-of-pocket costs depending on local arrangements and provider participation.

Availability may vary by region, workforce capacity, and provider participation.

A DMMR does not guarantee medication changes, additional services, or ongoing reviews. Recommendations are subject to clinical judgement.

 

Who may be considered

A DMMR is generally considered for people who may be at risk of medicine-related problems.

This may include people who:

  • Take multiple medicines

  • Have experienced recent changes to their medicines

  • Have difficulty managing medicines

  • Have had recent hospitalisation

Eligibility and program rules are determined by the Australian Government and may change over time. This website does not determine eligibility.

 

What this does not mean

A DMMR:

  • Does not guarantee funding for medicines

  • Does not automatically result in medication changes

  • Does not replace ongoing care from a general practitioner

  • Does not ensure bulk billing

  • Does not create automatic entitlement to repeat reviews

Access and funding arrangements may change. Official government sources provide the most current information.

 

Who decides

  • Clinical suitability for referral is determined by the treating general practitioner.

  • The medication review is conducted by an accredited pharmacist.

  • Decisions about medication changes are made by the treating medical practitioner.

  • Funding rules are set by the Australian Government.

This website does not determine access or entitlement.

 

Access considerations across Australia

Access to DMMRs may vary:

  • Between metropolitan, regional, and remote areas

  • Depending on availability of accredited pharmacists

  • Based on local service arrangements

People in rural and remote communities may have different access pathways depending on local workforce capacity.

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Official information sources

For current and authoritative information, refer to:

Official government sources prevail where there is any difference between this page and published policy.

 

 

 

Important Information

This page provides general educational information about how Domiciliary Medication Management Reviews operate within the Australian health system.   It is not medical advice, eligibility advice, financial advice, or insurance advice. It does not determine individual access to services or entitlements.  Health systems, funding arrangements, and eligibility rules can change over time. For the most accurate and up-to-date information, check official government sources and discuss your individual situation with your GP or healthcare team.  Official government sources prevail. Clinical decisions are made by healthcare professionals. This website does not determine access, eligibility, or entitlement, and no professional relationship is created by using this site.

 

 

Last reviewed: February 2026

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