01 · Review
Comprehensive medication review
A structured review of every prescription, OTC product and supplement. We look for interactions, duplications, dosing problems, gaps in therapy and adherence barriers.
For California practices serving Medi-Cal
Better-controlled patients. Stronger quality scores. No extra work.
RxMTM is an independent, pharmacist-led medication therapy management program. You refer your Medi-Cal patients. Our pharmacists review every medication, close the gaps, and send recommendations back to your chart.
HypertensionAbove goal
Blood pressure is a medication problem in disguise.
Blood pressure3 agents · 2 prescribers
Missed doses / weekRefill history
Illustrative example · not patient data
You stay in control. Every therapy change goes through you.
Type 2 diabetesImproving
A1c above 9%? That's where pharmacists move the needle.
A1cMetformin + basal insulin
Drug therapy problemsFound at first review
3 found · 3 resolved
Illustrative example · not patient data
Seen by video or in person. Visits fit the patient's life.
PolypharmacyPlan in place
11 medications, 4 prescribers, 1 clear plan.
Chronic medicationsRx + OTC + supplements
Sent to PCPSOAP note
Duplicate NSAID · statin gap
Illustrative example · not patient data
Notes go back to your chart. Nothing new for your staff.
$0Cost to your practice
16Qualifying conditions
PharmDLicensed CA pharmacists
~50%
of patients with chronic disease don't take medications as prescribed.
WHO, 2003−7.6
mmHg average systolic drop with pharmacist care vs. usual care.
Santschi et al., 20143×
more likely to reach A1c <7% in LA safety-net clinics.
Johnson et al., 201012:1
health-cost savings compared with the cost of MTM.
Isetts et al., 2008
What we do
We handle the medication work between visits.
Your patients get one-on-one time with a pharmacist who knows their full medication list. Your team doesn't add any work.
01 · Review
02 · Plan
A plan the patient understands
Every patient leaves with a personal medication list and an action plan in plain language, in their preferred language, with tools like pill organizers and refill syncing.
03 · Follow up
Recommendations to you, then follow-up
You get a concise SOAP note with evidence-based recommendations. We follow up with the patient so the plan sticks and the numbers move.
Culturally adapted
Care in the language your patients speak.
Medi-Cal patients come from every community in California. Our pharmacists and interpreters meet patients in their language, and their medication plans arrive in it too.
- Medication lists and action plans in plain language
- Multilingual staff or interpreters at every visit
- Visits in person or by video, whichever works for the patient
RxMTM PharmacistAuto-translated
Hola María, aquí está su lista de medicamentos actualizada. Tome la pastilla de la presión por la mañana, con el desayuno."Hi María, here is your updated medication list. Take your blood pressure pill in the morning, with breakfast."Patient
¡Gracias! Ya puse la alarma en mi teléfono."Thank you! I already set an alarm on my phone."
Integrations & workflow
Works alongside your EHR. Not on top of it.
Whatever system your practice runs, RxMTM works in parallel. We set up secure access to the patient information we need and get our notes back into your chart, with no new software for your front desk.
EpicOCHIN EpicathenahealtheClinicalWorksNextGenOracle HealthPractice FusionOther EHRs
Start with a patient list
Share the patients you want reviewed, or let us help identify who's eligible. We handle outreach and scheduling.
Notes back in your chart
SOAP notes and recommendations are returned through the channel your team already uses.
HIPAA-compliant from day one
A Business Associate Agreement is signed before any patient information is shared. Data is encrypted and access is limited to the care team.
Billing handled by us
We submit MTM claims electronically under our own Medi-Cal enrollment. Nothing for your billing team to do.
Clinical outcomes
Decades of research back pharmacist-led MTM.
These are published results from peer-reviewed studies, including care for low-income patients in California safety-net clinics.
71%
of MTM patients reached the HEDIS blood pressure goal, vs. 59% without MTM
Pharmacists worked with primary care providers on medication management. Across 39 randomized trials, pharmacist care also lowered systolic blood pressure by an average of 7.6 mmHg compared with usual care.
Isetts et al., J Am Pharm Assoc 2008 [3] · Santschi et al., J Am Heart Assoc 2014 [2]−7.6 mmHgAverage systolic reduction vs. usual care · 14,224 patients
−1.38%
A1c compared with usual care, in uninsured and underinsured patients
Patients in Los Angeles safety-net clinics started with poorly controlled diabetes (A1c >9%). Pharmacists reviewed medications, adjusted therapy, monitored adherence and followed up. Patients were three times more likely to reach an A1c under 7%.
Johnson et al., Ann Pharmacother 2010 [1]
Safety-net, Los Angeles222 pharmacist-care patients vs. 262 usual-care patients
52%
of MTM patients reached the HEDIS cholesterol goal, vs. 30% without MTM
A review of 298 studies found that pharmacist direct patient care significantly improved LDL cholesterol, A1c, blood pressure, adverse drug events and medication adherence.
Isetts et al., J Am Pharm Assoc 2008 [3] · Chisholm-Burns et al., Med Care 2010 [4]
298 studiesSystematic review and meta-analyses of US pharmacist care
−31%
total health spending per patient in the year after starting MTM
Spending fell from $11,965 to $8,197 per person. That was more than 12 times the cost of providing MTM. In the Asheville Project, direct medical costs for patients with diabetes dropped $1,200–$1,872 per patient each year.
Isetts et al., J Am Pharm Assoc 2008 [3] · Cranor et al., J Am Pharm Assoc 2003 [5]12 : 1Health-cost savings vs. the cost of MTM services
These are results from independent published research, not RxMTM program data. Individual patient results vary. Full references below.
Built for Medi-Cal
Aimed at the measures your health plan watches.
Medi-Cal managed care plans are held to minimum performance levels on chronic-disease measures, and many reward practices that move them. MTM goes straight at the medication side of each one.
- A better-controlled panel without adding visits
- Support for the quality measures your plan tracks
- Fewer medication-related calls and refill problems for your staff
- No cost to the practice. Medi-Cal MTM is billed by our pharmacy as a fee-for-service benefit.
CBP
Controlling High Blood Pressure
Titration recommendations, adherence support and home BP coaching.
GSD
Glycemic Status Assessment (>9%)
Regimen simplification, dose optimization and closing adherence gaps for diabetes.
AMR
Asthma Medication Ratio
Getting controllers used correctly, inhaler technique and less reliance on rescue inhalers.
Measures held to MPL per DHCS Managed Care Accountability Set, Reporting Year 2026 [6]
How it works
Five steps. Zero extra work for you.
From the first conversation to your first patient's medication review.
01
Partner
A 15-minute call, then a simple agreement and a BAA.
02
Refer
Send a list or refer individual patients. We confirm Medi-Cal eligibility.
03
Review
A pharmacist meets each patient, in person or by video, for a full medication review.
04
Recommend
You receive a SOAP note with clear, evidence-based recommendations.
05
Follow up
Ongoing check-ins (up to six sessions a year) to keep patients on track.
Who benefits most
The complex patients who need it most.
Medi-Cal patients with a qualifying condition
Outpatients with Medi-Cal (not dual Medicare/Medi-Cal) who are on five or more chronic medications, or on a single very high-cost therapy, for conditions such as:
DiabetesHypertensionCardiovascular diseaseDyslipidemiaAsthma / COPDMental illnessHIVHepatitis CAutoimmune disordersESRD+ more
Plus at least one risk factor
Common examples:
- Multiple prescribers
- Abnormal labs that medications could improve
- A history of missed doses or nonadherence
- A recent hospital or SNF discharge
- High-risk medications
- Referral from you, their provider
FAQ
Questions providers ask.
Does this replace me as the patient's provider?
No. You remain the patient's primary care provider. Our pharmacists make recommendations, and therapy changes go through you. If you'd like, we can discuss a collaborative practice agreement for specific protocols.
Does it integrate with my EHR?
RxMTM works alongside any EHR. During onboarding, we agree with your team on how we'll securely receive the patient information we need and how our notes get back into your chart.
Is there any cost to my practice?
No. Medication therapy management is a covered Medi-Cal benefit. Our pharmacy bills Medi-Cal directly for the services we provide, so there's no cost to your practice and nothing for your billing team to do.
What does my staff need to do?
Very little. Share a patient list or send referrals, and receive our notes. We handle outreach, scheduling, the visits, documentation and follow-up.
Which patients benefit most?
Medi-Cal patients with complex medication regimens: five or more chronic medications, multiple prescribers, uncontrolled blood pressure or A1c, recent hospital discharges, or trouble taking medications as prescribed.
How do I hear about my patients' progress?
After each visit, you receive a concise SOAP note with findings and recommendations. Anything urgent is communicated right away.
Is it HIPAA compliant?
Yes. We sign a Business Associate Agreement before any patient information is shared. Patient information is encrypted and access is limited to the care team.
Who are the pharmacists?
Licensed California pharmacists with MTM training, working from independent community pharmacies. Multilingual staff or interpreters are available for every visit.
Get started
See what MTM can do for your Medi-Cal panel.
Book a 15-minute call. We'll walk through how RxMTM works, which of your patients may qualify, and how we'd fit your workflow.
- No cost to your practice
- Works alongside your EHR
- No extra work for your staff
References
- Johnson KA, Chen S, Cheng IN, et al. The impact of clinical pharmacy services integrated into medical homes on diabetes-related clinical outcomes. Ann Pharmacother. 2010;44(12):1877-1886. doi:10.1345/aph.1p380
- Santschi V, Chiolero A, Colosimo AL, et al. Improving blood pressure control through pharmacist interventions: a meta-analysis of randomized controlled trials. J Am Heart Assoc. 2014;3(2):e000718. doi:10.1161/JAHA.113.000718
- Isetts BJ, Schondelmeyer SW, Artz MB, et al. Clinical and economic outcomes of medication therapy management services: the Minnesota experience. J Am Pharm Assoc. 2008;48(2):203-214. doi:10.1331/JAPhA.2008.07108
- Chisholm-Burns MA, Kim Lee J, Spivey CA, et al. US pharmacists' effect as team members on patient care: systematic review and meta-analyses. Med Care. 2010;48(10):923-933. doi:10.1097/MLR.0b013e3181e57962
- Cranor CW, Bunting BA, Christensen DB. The Asheville Project: long-term clinical and economic outcomes of a community pharmacy diabetes care program. J Am Pharm Assoc. 2003;43(2):173-184. doi:10.1331/108658003321480713
- California Department of Health Care Services. Managed Care Accountability Set (MCAS), Reporting Year 2026. dhcs.ca.gov
- California Department of Health Care Services. Update on Medication Therapy Management Pharmacy Services. June 2024. dhcs.ca.gov
- World Health Organization. Adherence to Long-Term Therapies: Evidence for Action. Geneva: WHO; 2003.