MEDICATION THERAPY MANAGEMENT SERVICES

What are Medication Therapy Management Services (MTMS)?

MTMS is a distinct service or group of services that optimize therapeutic outcomes for individual patients. These services may include (but are not limited to):

• A comprehensive medication review to identify, resolve, and prevent medication-related problems.
• Documentation of the care provided
• Communication of essential information to the patient’s primary care providers
• Verbal education and training to enhance patient understanding and ensure appropriate use of the patient’s medications.
• Periodic follow-ups to ensure continuity of care.

How will Medication Therapy Management Services (MTMS) benefit yourself, or a loved one?

• Adequate one-on-one time allows the pharmacist to fully analyze patients’ current medication therapy, including OTC medications and vitamin/herbal supplements.
• Patients gain valuable knowledge about their medication therapy.
• Careful analysis of patients’ medication therapy allows the pharmacist to monitor for drug-drug, drug-disease, and drug-food interactions
• Cost analyses are performed to ensure patients are treated in the most cost-effective way.
• Dosing regimens are reviewed to increase dosing convenience
• Drug review can reduce patient discomfort and increase quality of life

Patients will be given the opportunity to ask questions or express concerns regarding their healthcare.

Which patients will benefit most from MTMS?

Patients who have trouble affording their medications

• Patients with multiple providers
• Challenging pain management patients
• Patients who require additional education about their medications
• Patients on more than 5 long term medications, or who has a chronic disease state (asthma, diabetes, high blood pressure, cholesterol, etc.)

Who is eligible for MTMS?

Anyone is eligible to participate in MTMS. However, not all insurances cover this service yet. For Medicaid and some Medicare part D patients, this service may be billed to insurance.

Though some insurances may not cover MTMS, participation may prove valuable due to the potential for decreased medical costs in the future. With close monitoring of medication therapy, MTMS may prevent adverse drug events from occurring and may prevent serious complications requiring hospitalization. It is worth the initial investment!

FREQUENTLY ASKED QUESTIONS:

Do all pharmacies provide MTM Services?

Unfortunately, no. All pharmacists are trained to detect drug interactions and to counsel patients on their medications. However, the pharmacists at Iverson Corner Drug have been certified to provide MTMS and have a structured process for interviewing patients, developing plans, and determining patient needs to provide MTMS in an efficient manner.

Which insurances pay for MTM services?

Iverson Corner Drug has MTM contracts with:

• Minnesota Medicaid
  
• Prime West
• Humana
• Community Care Rx
• Health Partners.

We also have a Federal grant through the Area Agency on Aging that covers MTM services for patients over 60 years old whose insurance does not cover this important service. Each insurance plan has different rules when they will pay for MTM services, contact us to find if your plan will help pay for this service.

If a patient’s insurance doesn’t cover MTMS, what will the cost be to them?

The minimum charge for MTMS is $52.00 for the first session and $34.00 for each follow-up session. Cost increases with the number of drug problems identified and face-to-face time with the pharmacist. Pricing is based on billing used for Medicaid coverage. If their insurance doesn’t cover this service, encourage patients to send a letter to them today to express their interest in MTMS and its benefit so that in the near future, all insurance companies will cover these services.

Can patients purchase these services for someone else?

Iverson Corner Drug has gift certificates available for purchase. Gift certificates may be applied to any Iverson Corner Drug services offered through the pharmacy, prescription medications, or any products sold at Iverson Corner Drug.

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