Clinical Pharmacology & Biopharmaceutics
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MTM is a unique service that optimizes therapeutic outcomes for individual patient. MTM services involve the review and
evaluation of patient?s complete medication therapy regimen rather than focusing on an isolated medical product. Several
studies have shown that patients receiving face-to-face MTM services provided by pharmacists in collaboration with health care
professionals experienced improved clinical outcomes and lower total health expenditures. Medication reconciliation is a crucial
part of MTM services and can help solve medication related problems within health care system. Patient centered integrated
care can make healthcare safe, effective and timely. MTM services should be considered for any patient with actual or potential
medication related problems regardless of the number of medications used, specific disease states or the health plan coverage.
MTM services are currently recognized in public sectors (Medicaid programs and Medicare part D plans) as well as private sectors.
Key role of pharmacists in MTM services is to provide patient with a comprehensive assessment and follow up plan to identify and
resolve medication related problems. Commonly patients may be referred to a pharmacist by their health plan or other healthcare
professional when patient is experiencing a transition of care or patient is suspected to be at higher risk of medication related
problems. Systematic approach is necessary to establish pharmacist led MTM program that can focus on reconciling patient?s
medication to ensure appropriate medication management. As new opportunities arise, all pharmacists regardless of practice
settings must share a common vision for patient centric MTM programs that can improve overall medication therapy outcomes,
adherence and ensure smooth transition of care.
Priyam Mithawala is a MTM certified Pharmacist who has experience in establishing pilot MTM/medication reconciliation programs in various health
care setting to improve patient care and therapeutic outcomes. She has received her PharmD from
The Ohio State University last year.
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