Polypharmacy is common among older individuals since they are commonly given several different medications. Polypharmacy raises the chance of using drugs incorrectly and having difficulties connected to drugs. Pharmacists are specialists in pharmacotherapy, so they are in a good position to go over complicated prescription regimens, figure out what is causing drug-related difficulties, and suggest ways to stop or fix them. Being part of medication review services is a big change in the way pharmacists work. Instead of just giving out prescription drugs, they now work with a patient's general practitioner (GP) to provide a professional service. There are two well-known medication review programs in India: Home Medicines Review (HMR) and Residential Medication Management Review (RMMR). The goals of this article were to explain how government-funded medication review services work in India and to use evidence-based indicators like the Drug Burden Index (DBI) and the Medication Appropriateness Index (MAI) to see how pharmacists help with HMR and RMMR. This research showed strong evidence that pharmacists can provide medication review services in a variety of contexts. While the beneficial effects of these services have been shown via many validated metrics (DBI, MAI), it is essential to additionally assess actual clinical outcomes and/or patient-reported outcomes.