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PHARMACIST RESOURCES - MTM Toolkit

MTM Toolkit | Immunizations | Medicare Part D

Medication Therapy Management Resources. Please use the information here to help you with questions regarding MTM. Because we rely on feedback to determine what resources are valuable to you, email us with your comments/suggestions. Be sure to put MTM Toolkit in the subject line.


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.


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.


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.