State Wellness Center

Medication Therapy Management (MTM)

If you take prescription medications, over-the-counter medications, herbal products, or other dietary supplements, such as vitamins or minerals, you could benefit from speaking with one of our medication specialists today at the State Wellness Center.

You may benefit from speaking with one of our medication experts if you:

  • Have one or more chronic medical condition that is treated with a medication
  • Take one or more chronic medication(s)
  • If you have trouble remembering to take your medication(s)
  • If you think you might be experiencing a side effect from your medication(s)
  • If you are having trouble affording your medication(s)
  • If you have any questions regarding your medication(s)
  • If you would like to learn more about your medical condition(s) and the best treatment options for you
  • If you are interested in learning more about how your medication(s) work
  • If you are interested in learning how to use your medication to optimize their effectiveness
  • If you use a medication device, such as an inhaler or insulin pen, and have questions on how to appropriately use it
  • If you use a medical device, such as a glucose meter, and have questions on which is the best device for your needs and how to use it
  • If you take a medication that requires frequent labs or close monitoring, such as anticoagulants
  • If you have gone to the emergency room or been hospitalized in the last year due to one of you chronic medical conditions
  • If you see more than one doctor for your medical care (ex. general practitioner, specialists, urgent care, etc.)
  • If you use more than one pharmacy to get your medications filled
  • If you need a vaccine offered at the SWC
  • If you smoke and you are interested in quitting
  • If you are concerned about weight gain and are interested in learning more about healthy eating and exercise habits

What is Medication Therapy Management (MTM)?

Medication therapy management (MTM) is a term used to describe a variety of health care services provided by pharmacists, the medication experts on the health care team. Our aim is to provide services that optimize your drug therapy and improve your therapeutic outcomes.

MTM services include medication therapy reviews, pharmacotherapy consults, anticoagulation management, immunizations, health and wellness programs, and many other clinical services. Pharmacists provide medication therapy management to help patients get the most benefit from their medications by actively managing their drug therapies and by identifying, preventing, and resolving medication-related problems.

Why is MTM needed?

Medication-related problems and medication mismanagement are a serious public health issue affecting many Americans in the United States. The Centers for Disease Control estimates that 82% of American adults take at least one medication, of which 29% take five or more. Experts estimate that 1.5 million preventable adverse events occur each year, resulting in $177 billion in injury and death. The numbers of these adverse drug events are expected to grow due to the development of new medications, discovery of new uses for older medications, the aging American population, increases in the use of medications for disease prevention, and increased coverage for prescription medications.

What to expect from your personalized MTM pharmacy consultation?

  • Collect information regarding your Health History
    • The pharmacist will collect information on your current medical conditions, medications you use to treat these conditions, your ability to take these medications as prescribed, and any side effects that you may be experiencing from these medications.
    • They will also assess any risk factors you may have for certain medical issues, both changeable and unchangeable, and then provide suggestions on ways you lessen your risk.
  • Perform a Comprehensive Medication Review
    • The pharmacist will collect information on every medication you are taking, including medications prescribed by your doctors, over-the-counter medications, and dietary supplements, such as vitamins, minerals, and herbal products.

What does the pharmacist do with all the information gathered from your personalized MTM pharmacy consultation?

  • Disease Prevention
    • The pharmacist’s first job is to proactively prevent disease, thereby avoiding the need to use additional medications to treat these preventable diseases. Also by catching the signs and symptoms of a disease early on, the easier they are to treat and potentially cure.
    • How can a pharmacist accomplish this?
      • Administer vaccines (see the SWC’s Immunization Services)
      • Perform SEIB Health Watch screenings
      • Teach you how you can self-monitor your health at home (ex. glucose meter training, home blood pressure monitoring training, cardiovascular risk reduction program, nutrition counseling with SWC Health Habits program, etc.)
      • Closely monitor medications that can cause adverse side effects (ex. blood pressure monitoring services for patients taking blood pressure medications, diabetes monitoring through our Diabetes and You program, etc.)
      • Educate you on what to expect from your medications for effectiveness and side effects so you know when to report to your doctor for follow-up
      • Recommend for you to see your physician for age and gender appropriate medical testing that is recommended in evidence-based guidelines (ex. colonoscopy, mammography, prostate exams, etc.)
      • Encourage you to make lifestyle changes to decrease disease risk (ex. SWC Healthy Habits weight management program and Pack It Up tobacco cessation program)
      • Prevent medication-related problems by monitoring all your medications closely to ensure optimal effectiveness and minimal adverse or unwanted effects.
      • Answer any questions you may have regarding your health
  • Treat Disease Effectively
    • Since it is not always possible to prevent disease, your clinical pharmacist always focuses on how medications are being used to treat your current medical conditions, whether they are acute or chronic issues. Your pharmacist will review your current list of medications, and carefully evaluate if there are any existing or potential problems with the medications, all from the perspective being the medication expert. As your pharmacist, it is our goal to always make sure that you are getting the most from the medications you are taking.
    • What is your pharmacist looking at when evaluating your medication list?
      • Drug-related problems (DRPs), including:
        • Duplicate or similar therapies
        • Drug Interactions
        • Adverse side effects from your medications
        • Additional therapies needed based on symptom control or evidence-based medical guidelines.
        • Cost-effective opportunities to help save you money on your medications
        • Required laboratory monitoring
        • Non-adherence or obstacles that interfere with how you take a medication as prescribed
        • Need for more education on your medications
  • Provide Ongoing Medication Evaluation and Monitoring
    • After your initial MTM consultation, your pharmacist will continue to monitor your medical conditions and the medications use to treat those conditions. Your pharmacist will be able to continuously resolve any medication-related problems, along with communicate with your healthcare provider(s) to ensure you get the best care available.

How to prepare for your first MTM consultation?

Preparing for your first MTM consultation is not difficult and requires minimal to no effort. All you have to do is bring your current medications and any other products you take for your health, such as vitamins, minerals, or herbal products, along with any questions or concerns you want to address with the pharmacist. To give you some ideas, here are some questions you may want to consider asking your pharmacist, the medication expert:

  1. What is this medication for?
  2. How and when should I take this medication?
  3. For how long should I take this medication?
  4. Does taking this medication mean that I have to stop taking an older medication?
  5. What will happen if I don’t take this medication as prescribed?
  6. When will the medication start working?
  7. What adverse side effects are possible?
  8. What are the medication’s benefits and risks?
  9. Does the medication interact with other medications?
  10. Does this medication interact with food, alcohol, or activities?
  11. Does this medication have pregnancy or breast-feeding implications?
  12. Does this medication require any regular tests such as blood work?
  13. How should I store and dispose of this medication?
  14. What should I do if there’s a problem with this medication?
  15. How much will this medication cost?
  16. Am I up-to-date on my required immunizations?
  17. What is the name of the pharmacist managing my care?

Last Updated: May 16, 2017