Medication Management
Medication Therapy Management
Medication Therapy Management Services
Determining Eligibility for MTMP under Medicaid Part D
- Patient must be suffering from 3 of the following chronic health conditions:
- Asthma
- Chronic Obstructivr Pulmonary Disease (COPD)
- Chronic Heart Failure
- Diabetes
- Dyslipidemia (high cholesterol)
- Hypertension (high blood presure)
- The patient must be taking at least 8 Medicaid Part D covered medications.
- Estimated annual costs for part D covered medications must exceeed a certain dollar amount
Prescription-focused Management
Prescription-focused management is related to any physical interventions which might be necessary in order to carry out the goals and objectives lined out in your MAP. Changes and adjustments will be suggested to your physicians by the pharmacist in order to optimize your prescribed medications.
Patient-focused Management
The bulk of medication management services are patient-focused. Patient-focused management includes services like:
- Instructing you on how to take the proper dosage at the proper timing.
- Instructing you on what possible side effects might occur and how to react to them.
- Helping you or your caregiver organize your medications in a manner that makes it easier to follow proper dosage and timing.
- In some situations, it is necessary for a caregiver to be properly instructed and trained to assist you in taking your medications in the proper dosage and timing.
What is Medication Therapy Management
Medication management or MTM is a program that is typically coordinated with your pharmacist, which helps to optimize the therapeutic outcomes of the medications that have been prescribed to you. MTM typically includes five core components:
- CMR Evaluation. A comprehensive medication review (CMR) is an evaluation of all of the medications, whether prescription or over-the-counter, which you take, how they are prescribed, and how they are being taken.
- MAP Action. A medication-related action plan (MAP) is formulated through the reviews and evaluations of the PMR and CMR.
- TMR Assessment. A targeted medication review (TMR) is conducted periodically as the patient’s medical conditions and adjustments to medications occur.
- PMR Review. The patient’s personal medical records (PMR) are reviewed in the next phase of MTM in an effort to prioritize and match medications with their corresponding medical conditions.
- Intervention. The MTM pharmacist performs an intervention in which he works with the patient’s prescribing physicians to substitute or improve the medications being prescribed as well as with the patient to instruct and assist the proper means of taking their medications.
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Benefits of Medication Therapy Management
There are a number of important benefits that result from MTM and it is our goal to make certain that you are able to take full advantage of them. Here are the most common ones:
- Because MTM is conducted through a licensed pharmacist your risk of negative drug interactions, side effects, and errors in dosage or how the medications are taken can be reduced.
- Useful tips and tools can be utilized to make certain that you take your medicines properly and avoid toxic risks.
- The reduction of cost can also be an added benefit through eliminating duplicative therapies or suggesting alternative formulas, if available.
What is a Comprehensive Medication Review (CMR)
A comprehensive medication review or CMR is typically an interview, which typically includes a pharmacist. In the interview, the patient reveals all of the various medications and/or vitamin supplements they are taking, whether prescription or over-the-counter, as well as how and when they are being taken. The pharmacist then takes all of the information compiled from the interview and looks for negative interactions between the various drugs, side effects that might worsen other health conditions, and errors in how the medications are being prescribed or taken by the patient.
It is from the CMR, along with a review of the patient’s medical records or PMR, that the medication management pharmacist is able to form an optimized medication-related action plan or MAP which provides the best possible results from the patient’s wide variety of medications.
What is a Targeted Medication Review (TMR)?
As health conditions change, either better or worse, changes to medications are often removed, added or altered in an attempt to better effect the changing health conditions. In essence, a TMR is utilized on an annual or semi-annual basis to make sure that the patient’s medication-related action plan (MAP) is still working in the way it was designed. When changes to medications are necessary, the medication management pharmacist utilizes a TMR in order to do a follow-up evaluation of the changes to the patient’s prescriptions.
