oHCM Insights: Best Practices for Clinical Pharmacists in Targeted CMI Therapy, features Andrew Willeford, PharmD, PhD, BCCP, and Laura Velazquez, PharmD, PhC, BCACP, in a peer-led conversation focused on optimizing management of obstructive hypertrophic cardiomyopathy (oHCM). The discussion centers on 3 themes: educating patients on the distinct pathophysiology of obstructive hypertrophic cardiomyopathy (oHCM) and the targeted mechanism of cardiac myosin inhibitors (CMIs), particularly mavacamten and newly approved aficamten; aligning clinical decision-making with long-term clinical trial and real-world REMS data demonstrating sustained efficacy, safety, and appropriate echocardiographic monitoring; and defining the clinical pharmacist’s leadership role in multidisciplinary care. Emphasis is placed on differentiating oHCM from non-obstructive disease, reinforcing patient confidence through robust real-world evidence, navigating REMS requirements, screening for CYP2C19 and CYP3A4 drug–drug interactions (including OTC products), incorporating pharmacogenomic considerations, coordinating echocardiogram monitoring, managing insurance barriers, and reducing physician burden through proactive, system-level execution of CMI programs.