On Medication Therapy Management (MTM)

What it is – How it works

By wikipedia


David Edward Marcinko


Medication therapy management (MTM) is medical care provided by pharmacists whose aim is to optimize drug therapy and improve therapeutic outcomes for patients.

Eleven national pharmacy organizations adopted this definition in 2004. Medication therapy management includes a broad range of professional activities, including but not limited to performing patient assessment and/or a comprehensive medication review, formulating a medication treatment plan, monitoring efficacy and safety of medication therapy, enhancing medication adherence through patient empowerment and education, and documenting and communicating MTM services to prescribers in order to maintain comprehensive patient care.

Core Elements

Medication therapy management includes five core components: a medication therapy review (MTR), personal medication record (PMR), medication-related action plan (MAP), intervention and/or referral, and documentation and follow-up. A MTR is a systematic process of collecting patient and medication-related information which occurs during the pharmacist-patient encounter.

In addition, the MTR assists in the identification and prioritization of medication-related problems. During the MTM encounter, the pharmacist develops a PMR for use by the patient. The PMR includes all prescription and nonprescription products and requires updating as necessary. After assessing and identifying medication-related problems, the pharmacist develops a patient-specific MAP. The MAP is a list of self-management actions necessary to achieve the patient’s specific health goals.

Moreover, the patient and pharmacist utilize the MAP to record actions and track progress towards health goals. During the MTM session, the pharmacist identifies medication-related problem(s) and determines appropriate intervention(s) for resolution. Often, the pharmacist collaborates with other health care professionals to resolve the identified problem(s). Following the patient encounter and/or intervention, the pharmacist must document his/her encounter and determine appropriate patient follow-up.

Pharmaceutical care  defined 

Hepler and Strand define pharmaceutical care as the provision of drug therapy in order to achieve definite outcomes that improve a patient’s quality of life. Outcomes include cure of a disease, elimination or reduction of a patient’s symptoms, arresting or slowing of a disease process, and preventing a disease or symptom. The process includes pharmacist collaboration with other health care professionals in designing, implementing, and monitoring a therapeutic plan for a patient. Pharmaceutical care focuses on the pharmacist’s role in achieving therapeutic goals to improve the patient’s quality of life.

MMA of 2003 – Part D

The Medicare Modernization Act of 2003, requires Medicare Part D prescription drug plans to include medication therapy management services delivered by a qualified healthcare professional, including pharmacists, beginning in 2006. MTM services target beneficiaries who have multiple chronic conditions (such as diabetes, asthma, hypertension, hyperlipidemia, and congestive heart failure), take multiple medications, or are likely to incur annual costs above a predetermined level.




Medication therapy management is a unique niche for the pharmacy profession, allowing pharmacists to apply their extensive medication knowledge as medication experts with the intent of improving patient outcomes.


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10 Responses

  1. MTM Example “in-vivo”

    The Center for Health & Wellness, in Louisville KY, is a professionally licensed pharmacy and facility providing healthcare services and educational opportunities to Sullivan University employees and students, as well as the general public. They work with individual patients and their primary care providers, empowering individuals to take control of their health and well being.

    Their mission is to empower health care professionals and individual patients through innovative and interprofessional health education and care. And, with a vision is to cultivate an integrated, interprofessional model of health care delivery and provide exceptional patient-centered care.

    So, check our their MTM offers, today.

    Dr. David Marcinko MBA


  2. The 12 States Amazon Now Has Pharmacy Licenses In – For Starters

    1. Alabama
    2. Arizona
    3. Connecticut
    4. Idaho
    5. Louisiana
    6. Michigan
    7. Nevada
    8. New Hampshire
    9. New Jersey
    10. North Dakota
    11. Oregon
    12. Tennessee

    Source: The Hill: Amazon gets pharmacy licenses in at least 12 states: report; October 26, 2017


  3. Do Healthy Employees Mean Higher Stock Prices?

    Does having a healthier workforce boost a company’s share price returns? Or are better-performing companies more likely to have higher-caliber employee health programs? It’s hard to tell.

    But, UBS is exploring the topic in its recent Corporate Health Report. The report explores the health challenges facing companies in the U.S., Europe, Asia Pacific and emerging markets etc.


    Any thoughts?

    Hope Hetico RN MHA


  4. MTM and Behavioral Economics?

    Recall that a thorough review published in The New England Journal of Medicine about a decade ago estimated that up to two-thirds of medication-related hospital admissions in the United States were because of noncompliance, at a cost of about $100 billion a year. These included treatments for H.I.V., high blood pressure, mental health and childhood illnesses (it can be difficult to get children to take their medicine, too).

    To address the issue, researchers have been trying various strategies, including those rooted in behavioral economics. So far, there hasn’t been much progress. A systematic review published five years ago in Annals of Internal Medicine looked at all kinds of trials that tried to improve patient compliance. It found some limited successes in improving patient compliance in different disorders, but most of the trials were small and not easily generalized outside the research setting.

    So, I sure hope that MTM is at least a partial answer to this dilemma? What do you think?

    Dr. David Edward Marcinko MBA CMP™


  5. Swallowable Pill Sensors

    Big Pharma companies are building electronic pills with sensors, transmitters, and cameras built into them. These devices don’t deliver drugs yet — instead, they generated data on the human GI tract and habits, saving patients money and invasive procedures in the process.

    And, producing medication compliance data and information, as well.

    Dr. David Edward Marcinko MBA CMP™


  6. Message from a Pill Bottle

    People are bad at remembering to take their medications—really bad. Like, the average patient fails to follow a prescription to the letter about half the time. The problem costs the U.S. billions.

    Enter Vitality, a startup aiming to solve the problem with an electronic cap for pill bottles.

    Dr. David Edward Marcinko MBA CMP™


  7. For 2018?

    “The importance of the body, mind and spirit connection will be a huge focus for corporate wellness programs in 2018. Corporations will be investing more and focusing on their employees and launching new programs to support their mental energy as well as physical energy and optimum resilience. Whether it be supporting employees by incorporating wellness design in their offices or creating opportunities through wellness programs within their companies, wellness is the new gold standard in business today. All employees will benefit from these new programs; however, we will see companies launching exciting new wellness programs that will specifically resonate with women.”

    Dee Kelly
    [Founder and CEO of Wellness Decor]


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