Please direct me to citations, not "try asking any X".
> Go into any pharmacy and ask the pharmacist about “MTM” and gauge their reaction.
MTM has nothing to do with insurance.
> Look at outcomesMTM they are 1 of the 2 dominate insurance software vendors.
outcomesMTM is not insurance software, it's pharmacy patient management software.
> Here is another tidbit for every recommendation the portal gives the pharmacist they 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.
That you need to substantiate with more than just "go talk to pharmacists", particularly in light of the above.
> Again try asking any practicing family physician, ask them how many faxes they get a day from pharmacies requesting they change the patient Rx.
I've had my pharmacy request changes on my behalf, if it was something simple (like getting the wrong dosage), and they have done so as a convenience, not because they were required to. I have never had them request a change without my consent or knowledge, and I would stop using such a pharmacy if it ever happened.
You have also completely ignored what I said about prescription changes not being necessary for generic substitution.