Excellent (15-24)
(4+4+4+4)+8 = 24
4 medication classes at ≥50% dose (Sacubitril Valsartan 200mg, Bisoprolol 10mg, Eplerenone 50mg, Dapagliflozin 10mg)
(4+1+1+1)+8 = 15
1 medication class at ≥50% and 3 at <50% dose (Dapagliflozin 10mg, Sacubitril Valsartan 50mg, Bisoprolol 2.5mg, Eplerenone 12.5mg)
Good (8-14)
(4+4+4) = 12
3 medication classes at ≥50% dose (Sacubitril Valsartan 100mg, Bisoprolol 5mg, Eplerenone 25mg)
(4+4) = 8
2 medication classes at ≥50% dose
Poor (<8)
(1+1+1) = 3
3 medication classes at <50% dose (Sacubitril Valsartan 50mg, Bisoprolol 1.25mg, Eplerenone 12.5mg)
4
1 medication class at ≥50% dose (Dapagliflozin 10mg)
Exemption Note: An 'e' is added to the score to mark an exemption or variance in medication class use. For example, if a patient is on ≥50% doses of 3 medication classes but has a clinical reason they are exempt from an MRA, they would be scored a 12e, with appropriate documentation in the clinical notes.