From the Center for Medicare and Medicaid Services. But like I said nearly no one knows any of this.

Go into any pharmacy and ask the pharmacist about “MTM” and gauge their reaction.

Look at outcomesMTM they are 1 of the 2 dominate insurance software vendors. Again you can ask nearly any pharmacist and they have an outcomesMTM portal that feeds them automated recommendations on behalf of the insurance carrier. Some of the bigger pharmacies, like Wal-Mart, have even removed the MTM portals from the individual stores already and created nationwide MTM centers. I even know of one company who uses pharmacy students (for free) to do this work for the insurers. Here is another tidbit for every recommendation the portal gives the pharmacist the pharmacy gets a “tip” (ie monetary bonus) to forward that to the doctor and if the doctor makes the change the pharmacy gets another tip. The only reason the insurers link up with the pharmacists to do their dirty work instead of the doctors directly is the insurers can’t pay the doctors the way they pay pharmacists to do their work bc of anti kickback laws.

>Pharmacists cannot just ask doctors for prescription modifications.

Again try asking any practicing family physician, ask them how many faxes they get a day from pharmacies requesting they change the patient Rx.