RxMTM+™
Discover how Health Plans and PBMs take control of their MTM programs with Agadia’s fully customizable web-based solution, RxMTM+™
Medication Therapy Management (MTM) Solution
A Fully-Configurable Software Leveraged to Automate Your MTM Process
With evolving CMS requirement complexities around Medication Therapy Management Programs (MTMP), Health Plans and PBMs are challenged to incorporate a comprehensive approach into their benefit infrastructure. Under 423.153(d), a Part D sponsor must provide a MTM program that:
- Ensures optimal therapeutic outcomes for targeted beneficiaries through improved medication use.
- Reduces the risk of adverse events.
- Is developed in cooperation with licensed and practicing pharmacists and physicians.
- Describes the resources and time required to implement the program if using outside personnel and establishes the fees for pharmacists or others.
- May be furnished by pharmacists or other qualified providers.
- Is coordinated with any care management plan established for a targeted individual under a chronic care improvement program (CCIP)
Key Features
Control Of Your MTM Program
A Fully Configurable Platform to Streamline Your MTM Process
Member Identification
Our advanced rules engine identifies MTM eligibility with flexibility to customize member qualification processes. It comes pre-loaded with CMS MTM criteria and allows easy customization of non-CMS criteria. Users can effortlessly configure criteria across multiple disease states, opioid programs, and therapy-specific MTM programs, enabling tailored interventions and improved patient outcomes.
Member Outreach
Our solution streamlines the Comprehensive Medication Review (CMR) process with automated Targeted Medication Review (TMR)* capabilities, seamless vendor integration, and efficient outreach management. The built-in calendar tools simplify scheduling, while the patient self-service portal* empowers patients to actively participate in their care, enhancing overall workflow efficiency and patient engagement.
Medication Review
Our CMR process meets regulatory guidelines, offering easy access to patient medication history and regimens to support pharmacists in delivering quality care. Pre-configured safety alerts and intervention notifications for prescribers enhance patient safety, while a built-in record of recommendation outcomes ensures comprehensive documentation and improved care coordination.
