"Core Elements" of Medication Therapy Management
Published Online: Friday, July 1, 2005 [ ]
When the nation's pharmacists
begin providing Medication Therapy
Management (MTM) services to
patients under the new Medicare drug
benefit next year, they will have little
guidance from federal health regulators
to use in designing specific services
eligible for reimbursement under the
The American Pharmacists Association
(APhA) and the National Association
of Chain Drug Stores (NACDS) are
moving to fill that void with a new
model "framework"that identifies 5
"core elements"for pharmacists to
consider using when providing MTM
services to patients.
Pharmacists who follow the model
would provide the following basic
MTM services to Medicare patients
who have >1 chronic disease, take multiple
medications, and incur high medication
- A once-a-year comprehensive
"Medication Therapy Review,"
during which the pharmacist and
the patient examine all medications
currently being used (including
OTC drugs, herbal products,
and dietary supplements) and the
pharmacist provides counseling to
optimize those therapies
- A "Personal Medication Record,"
prepared on the basis of that
review, that lists all medications,
strengths, and directions for each
- A "Medication Action Plan,"
offering the patient useful strategies
to maximize the benefits of
his or her medication therapy
- "Pharmacist Intervention"to
address any medication-related
problems and to refer patients to
other health care professionals, if
- "Documentation of Services and
Follow-up"by the pharmacist to
ensure that patients continue to
benefit from their medication
The APhA and the NACDS Foundation
are planning to augment the new
MTM model with a complete operations
manual, forms, and MTM practice
guidelines for pharmacists and
other pharmacy personnel.
Mr. Rankin is a freelance medical writer.
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