Auburn University Pharmaceutical Care Center (AUPCC)

Medication Therapy Management (MTM)

If you take any medication, prescribed or not prescribed, such as an over-the-counter medication, vitamin, mineral, or herbal supplement, you could benefit from scheduling an appointment at the AUPCC today.

You might have the greatest benefit if you:

  • Have one or more chronic health problem that is treated with a medication
  • Take one or more chronic medication
  • If you have problems remembering to take your medications
  • If you think you might be having an adverse effect from your medications
  • If you are having trouble affording your prescription co-pays
  • If you have any questions or problems with your medications
  • If you want to learn more about how your medications work and how to use them better (Such as, when do I need to start using my rescue inhaler? Or, do you think that I need to use my inhaler before exercise?)
  • If you take a medication that requires frequent labs or close monitoring (Such as diabetes medications or anticoagulants, etc.)
  • If you have gone to the emergency room or been hospitalized in the last year due to one of your chronic health problems
  • If you go to more than one doctor for medical care (general practitioner, specialists, urgent care, etc)
  • If you use more than one pharmacy to get your medications filled
  • If you need a vaccine such as the flu shot or other adult vaccine offered in the AUPCC
  • If you smoke and are interested in stopping
  • If you are concerned about weight gain and would like to learn more about healthy eating habits

Medication Therapy Management (MTM) In a Nutshell...

CLINICAL PHARMACIST
MTM CONSULTATION
Collects Health History Information
Collects information on the patient’s risk factors for disease, modifiable and non-modifiable, and information on current diseases, medications used to treat these conditions, adherence with the medications, understanding of what to expect from medications, etc.
Collects Complete Medication List
Collects information on every medication that a patient takes: prescriptions from every doctor, items filled at every pharmacy, medications ordered on the Internet. Whether it is a prescription drug, OTC medication, vitamin, mineral, or herbal remedy.
Pharmacist's First Job = Prevent Disease
Proactively prevent disease and then you prevent the need to use medications to treat these preventable diseases. Also, catch diseases earlier when they are easier to treat and possibly cure.
  • Give vaccines (see the AUPCC’s Immunization Services)
  • Perform health screenings (see the AUPCC’s HealthyTigers® health screenings)
  • Teach patients how to self-monitor health at home (see the AUPCC’s Take Control® women’s health program, Breathe Easy® asthma program, cardiovascular risk reduction program, etc.)
  • Closely monitor medications that can cause adverse effects (see the AUPCC’s anticoagulation monitoring program for patients taking medications such as Coumadin®, blood pressure monitoring services for patients taking HTN meds, etc.)
  • Teach patients what to expect from their medications for effectiveness and adverse effects so they know when to report to their physician for follow-up
  • Refer patients to their physician for age and gender appropriate medical testing that is recommended by guidelines (such as colonoscopy, mammography, etc.)
  • Encourage patients to make lifestyle modification to decrease disease risk (See the AUPCC’s Healthy Habits® weight loss program and Pack It Up® smoking cessation program
  • Prevent medication-related problems (monitor all medications closely to make sure that there is optimal efficacy and minimal adverse or unwanted effects)
Pharmacist's Next Job = Treat Disease Effectively
It is not always possible to prevent disease, so the clinical pharmacist always focuses on how medications are being used to treat existing acute or chronic disease. The pharmacist reviews the patient’s list of medications and carefully evaluates if there are any existing or potential problems with the medications. The pharmacist is looking at the patient’s medications from the perspective of the medication expert, and their goal is always to make sure that the patient is getting the most from the medications that they are taking. Some common drug-related-problems (DRPs) that are identified include:
  • Duplicate therapy (similar medications being taken together)
  • Drug interactions (often from medications prescribed by different doctors and filled at different pharmacies so they are not noticed)
  • Adverse effect of a medication (that might be not noticed because it can mimic a symptom of a disease)
  • Cost savings opportunity (there is a medication that is equally effective that has never been tried and could save the patient money)
  • Additional therapy needed (based on symptom control or medical guidelines)
  • Laboratory monitoring needed (based on the medication being taken)
  • Non-adherence (there is a barrier that interferes with the patient taking the medications the way that they were prescribed)
  • Patient education needed (the patient needs education on a specialized dosage form such as an inhaler or injection)

Pharmacist’s Continuous Job = Provide Ongoing Medication Evaluation And Monitoring

  • Ongoing disease state management of chronic disease states requiring chronic medications. See the AUPCC’s Breathe Easy®asthma program, the Diabetes and You® diabetes management program. We also monitor high blood pressure, dyslipidemia, congestive heart failure, depression, and any disease state that requires medications.
  • Continuously resolve any medication-related problems
  • Communicate effectively with all healthcare providers taking care of the patient

More Information:

Last Updated: March 29, 2017