Recommendations for overcoming barriers to medication therapy management implementation, part 1: review of literature

As a required service of the Medicare Modernization Act of 2003, medication therapy management services must be offered by all Part D prescription drug plan sponsors in order to improve overall knowledge of medication usage for targeted patients. Those targeted patients include patients who have multiple chronic diseases, have been prescribed several covered Part D medications, and are paying at least $4,000 in out-of-pocket expenses for their medication each year. This article serves as a literature review of medication therapy management services and serves as an introduction to a study conducted by the authors concerning some of the barriers and recommendations to overcome such barriers encountered by Indiana pharmacists.