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Medication Therapy Management (MTM) Services

The Medicare Modernization Act of 2003 requires all Medicare Part D prescription drug plans to provide to their members:

• a MTM service delivered by a pharmacist
• a comprehensive medication review (CMR) offered annually to all Medicare Part D recipients enrolled in an MTM program
• a targeted medication review (TMR) performed quarterly to evaluate and manage specific or possible drug-related problems
*This includes enrollees in long-term care facilities.

Studies have shown that billions of dollars are lost every year because of the misuse of medications. Medication therapy management (MTM) provided by pharmacists is proven to improve patient outcomes and reduce overall health care costs.

In the years 2014 and 2015, CMS will be benchmarking Part D plans to look at the percentage of MTM eligible Part D patients to the actual number of patients who received a CMR. The percentage of eligible patients who receive a CMR is only 10%. This data will be used for 2016 Part D Star Ratings. Therefore, the number of CMRs provided today is very important to each retail pharmacy.

PHARxSIGHT offers a comprehensive MTM program for retail pharmacies and commercial insurance companies called PatientCare Rx™. The program ensures that the patient is taking the correct medication, correct dose at the correct time of day and receiving results with the least amount of side effects.
We leverage our experience with our PatientCare Connex™ 30-day readmission reduction program where we perform medication reconciliations for patients being discharged from an hospital or skilled nursing facility (SNF).

Our team of licensed MTM pharmacists act as an extension of your retail pharmacy team. The PatientCare Rx™ program completes each assigned MTM opportunity, taking care of all documentation required by Medicare or other prescription insurance carriers. This program ensures that pharmacies are complying with medication adherence measures, which will affect future CMS Star Ratings and contracts to other networks.
Please contact us to sign-up for our MTM PatientCare Rx™ program so you can focus on your business and the care of your customers and

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                                     MTM Case Study                                           MTM Sell Sheet