The objectives of the current study were to design and
assess the feasibility of MTM implementation in highvolume
settings, as well as to evaluate the fiscal benefit
of providing comprehensive care versus following the
traditional dispensary model. The most difficult aspects of
providing comprehensive care are identifying patients and
having the ability to bill for the services rendered. Patient
identification remains a barrier to providing MTM because
without full transparency from the health plan or PBM,
the eligibility status of a patient to receive MTM services is
unknown. Then, even if a patient is identified as eligible
to receive MTM services, service billing is often problematic
because each health plan has an individualized billing
protocol, which the pharmacist may not be familiar with.