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Medication Therapy Management

If you are interested in signing up for Medication Therapy Management and meet the required criteria for who we serve, we invite you participate in our program.

If you are interested in having your medications evaluated, please complete our Consent/Authorization Form and MTM Information Form. The MTM Information Form will be forwarded to IntegriCare Clinical Associates. A Certified Geriatric Pharmacist (CGP) will review your medications and supplements for safety and effectiveness. A Patient Care Representative (PCR) will contact you to schedule a telephone appointment with you and the pharmacist. You and your primary care physician will receive a formal report outlining the pharmacist's recommendations. You will receive additional copies of the report to share with your specialists and/or health care providers. Once you have had an opportunity to review the results with your physician, we will follow-up with you once again to determine if any changes were made to your drug regimen.

**Your physician may have different opinions about the recommendations made by the clinical pharmacist. Therefore, you need to discuss the recommendations made by the pharmacist with your doctor before you change or stop take medications.**

If you have any questions about the program, please contact the MTM project director at (775) 784-1612.

Links and Downloads

English

Please click below for the program application forms. Please print out the information letter & notice of privacy practices for your records, and ensure the application is complete before mailing it back.