Medication Therapy Management Resources

The following information has been collected and developed by MPhA to help you in your MTM practice - items with the Pharmacists Care logo were designed and developed by MPhA just for you! Please feel free to use the below documents as a template for your practice. Brochures are intended for your use (use the space on the back panel to insert your practice information or logo). Have a question or need something not listed? Contact us - we are happy to direct your questions and take your feedback.

Pharmacists

  1. Cost of Service Calculators - Tools available to assist pharmacists in determining the cost of providing MTM services for use in determining pricing for their services.

  2. Documentation Systems - List of known systems used for the billing and documentation of MTM services.

  3. Sample MTM Presentation to Pharmacists - Template document that can be used to assist other pharmacists in implementing MTM programs in their pharmacy.

  4. Sample Business Plan

  5. Sample MTM Consultant Pharmacist Contract

  6. Sample Collaborative Practice Agreement - General

  7. Sample Collaborative Practice Agreement - Anticoagulation

  8. Sample Collaborative Practice Agreement - Asthma Management

  9. Sample Collaborative Practice Agreement - COPD Management

  10. Sample Collaborative Practice Agreement - Hypertension Management

  11. Sample Collaborative Practice Agreement - Lipid Management

  12. Sample Collaborative Practice Agreement - Smoking Cessation

  13. Sample Collaborative Practice Agreement - Therapeutic Interchange Abridged

  14. Sample Patient Letter - Letter explaining MTM services to patients, and how they can access MTM services at your pharmacy.

Patients

  1. Patient MTM Brochure

  2. Patient MTM Brochure - Diabetes - Diabetes specific Patient Brochure

  3. Sample Presentation to Patients/Patient Advocacy Groups - Explains what MTM services are and how to access services from a local pharmacy.

Payers

  1. Overview & Addendum Piece - documenting MTM success stories.

  2. Sample Presentation: MTM Beyond Disease State Management.

  3. Sample Presentation to Local Employer

Prescriber Outreach

  1. Prescriber MTM Brochure.

  2. Sample letter to prescribers.
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