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Pharmacogenomics in medication selection

Enable more effective and targeted treatments that address unique needs for patients with pharmacogenomics.

November 7, 2025 | 3-minute read

The traditional one-size-fits-all approach to medication has long been recognized as a limitation in healthcare, often resulting in suboptimal treatment outcomes, adverse drug reactions and compromised patient safety. However, the emergence of precision medicine is transforming healthcare by providing tailored treatment plans that account for individual genetic, environmental and lifestyle factors. Driven by advances in genetic understanding, technological capabilities and the need for more effective management of chronic diseases, precision medicine is becoming increasingly important.

As healthcare continues to evolve, precision medicine offers a promising approach to improving treatment outcomes, reducing healthcare costs and enhancing patient care. By leveraging the latest advancements in genomics, data analysis and AI, precision medicine is poised to transform the healthcare landscape, enabling more effective and targeted treatments that address the unique needs of individual patients.

Pharmacogenomics offers a more nuanced understanding of how genetic factors influence drug response, allowing for tailored treatment strategies. As genetic testing becomes more accessible and affordable, the integration of pharmacogenomics into clinical practice is poised to transform patient care. The field of pharmacogenomics has evolved significantly since the discovery of genetic variations affecting drug metabolism, with ongoing research continuing to uncover new associations between genetic markers and drug response.

Precision medicine is becoming increasingly important due to several key factors:

The benefits of pharmacogenomics-guided treatment are multifaceted. By tailoring medication to an individual's genetic profile, pharmacogenomics can enhance treatment efficacy and reduce the risk of treatment failure. Moreover, pharmacogenomics can minimize the risk of adverse drug reactions, improving patient safety and reducing healthcare costs associated with ADR-related hospitalizations. A study published in the Journal of the American Medical Association (JAMA) found that pharmacogenomics-guided treatment reduced the risk of adverse events by 30% compared to standard treatment approaches.1

Pharmacists are positioned to play an active role in pharmacogenomic testing, clinical interpretation of results and recommendations for individualization of medication therapy. The American Society of Health-System Pharmacists (ASHP) has recognized the role of pharmacists in the delivery of pharmacogenomic testing, stating that pharmacists are "uniquely positioned to lead interprofessional efforts to develop processes for ordering pharmacogenomic tests and for reporting and interpreting test results."

Pharmacists have been involved in or led the delivery of pharmacogenomic testing in various clinical settings, including health systems, outpatient clinics and community pharmacies. They have played multiple roles, such as identifying eligible patients for pharmacogenomic testing, providing patient education and counseling, interpreting test results, making treatment recommendations based on the results and consulting with prescribers. The integration of pharmacogenomic testing into medication therapy management services has also been promoted, enabling more careful reviews of patients' medication history and potentially presenting opportunities to discuss pharmacogenomic testing in detail with patients.

As pharmacogenomics continues to evolve, advances in genetic testing will play a critical role in shaping its future. Next-generation sequencing and other advances in genetic testing will continue to enhance our understanding of the genetic factors influencing drug response. The integration of pharmacogenomics data into electronic health records will also facilitate the use of genetic information in clinical decision-making. Precision medicine initiatives will rely heavily on pharmacogenomics to enable more targeted and effective treatment strategies.

Pharmacogenomics represents a significant advancement in personalized medicine, offering a more nuanced understanding of how genetic factors influence drug response. By integrating pharmacogenomics into clinical practice, healthcare providers can improve treatment outcomes, enhance patient safety and reduce healthcare costs.

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1. Haga SB. The Critical Role of Pharmacists in the Clinical Delivery of Pharmacogenetics in the U.S. Published September 10, 2023.
2. Tamara Apted, MS; Avery Huff, PharmD. Pharmacogenomics for Improved Outcomes and Decreased Costs in Health Care. Published December 15, 2023.