Community Pharmacy Anticoagulation Management Service (CPAMS)

The overall objective of the Community Pharmacy Anticoagulation Management Service (CPAMS) is the provision of INR point-of-care testing by community pharmacy and adjustment of warfarin doses within a defined range with the aid of an approved decision-support system.

This information is intended for pharmacists. If you are a patient, please see information for patients.

The CPAMS service aims to:
(a) support Service Users and their families/whanau to better understand and manage their warfarin medication;
(b) reduce warfarin-related adverse medication events;
(c) improve accessibility and convenience for Service Users;
(d) improve multidisciplinary management of Service Users prescribed warfarin in the community;
(e) reduce the burden on Medical Practitioners; and
(f) prioritise services to the following patient groups, where possible

  • People with venous access issues
  • People with poor attendance at the practice, or those the practice has difficulty contacting with the results of the INR test
  • People with poor compliance / who are uncontrolled
  • High-needs patients / people with poor health literacy
  • People with mobility issues.

PSNZ Education Professional Development and Training provides a training course for pharmacists to become accredited to provide CPAMS.


  • Anticoagulation management knowledge, Dr Paul Harper Consultant Haematologist, with assessment.
  • Training on using the hardware, Roche Diagnostics NZ Ltd, with a practical and written assessment.
  • Training on the Clinical Decision Support Software (CDSS) on laptops, INR Online Ltd.
  • Tips from an accredited pharmacist from the pilot project.

(In Canterbury and the West Coast additional training is provided on site by Canterbury Health Laboratories).

There are different training options depending if you have a new CPAMS contract or are an existing CPAMS contracted pharmacy with experienced CPAMS pharmacists on staff. More information on the CPAMS service can be found here.

CPAMS Training Programme

For pharmacies with a current contract:

If your pharmacy holds a current contract to provide a CPAM service, and new staff require training, please complete the application form and email it to us at to arrange this.

For pharmacies without a current contract:

We are working with Te Whatu Ora in expanding funded access to the CPAM Service. If you are interested in providing a CPAM service in your pharmacy and you DO NOT have a current contract, please email us at We'll keep you up to date with our progress.

CPAMS Recertification

Accredited pharmacists MUST re-certify every two years. It is your professional obligation to ensure your accreditation is current. If you are due for recertification, please register for the training using the link below.

If you have been involved in the CPAM service previously, but will no longer be providing the service, please let us know by completing this form and returning it to