Medication Therapy Management (MTM)

What Does MTM Cover?

Medication therapy management review, or MTM for short, covers a spectrum of services that are used by a pharmacist to optimize and individualize the best treatment outcomes for each patient. It is a process of collecting patient information, communicating with health care providers, assessing appropriateness of current or missing therapy, identifying medication related problems and developing a plan to solve them.

What Doesn't MTM Cover?

MTM reviews focus on getting the right drug to the right patient and the right time. MTM does not include the dispensing of medication.

MTM does not take the place of your primary care provider. Primary care providers will still supply diagnosis, education, medical procedures and make the final decisions that are necessary for each patient’s illness or disease. The MTM review focuses on the appropriateness of the medications that are being prescribed and allows the pharmacist to make recommendations for the solution of medication problems that arise.

Travel Clinic

Are you planning a trip overseas? Schedule an Appointment with one of our clinical pharmacists (located in Snohomish County near Marysville, WA) to receive all required vaccinations and personalized trip consultation:

Reasons to use Tulalip Clinical Pharmacy Travel Clinic services:

• Tulalip Clinical Pharmacy is a member of the International Society of Travel Medicine (ISTM), the largest organization of professionals dedicated to the advancement of the specialty of travel medicine.
• We use an industry-leading travel medicine resource service that provides comprehensive and up-to-the-minute health and safety guidance.
  • Pre-travel preparation
  • Immunization recommendations
  • Yellow fever entry requirements
  • Food and water precautions
  • Prevention and treatment of traveler’s diarrhea
  • Insect and malaria precautions
  • Hospitals/clinics locations and contact information
  • Safety hazards
  • Post-travel care
• This is a one-stop solution for all your travel health needs.
  • Vaccination documentation
  • Travel vaccinations
  • Travel medications
  • Health-related travel planning
  • Vaccination documentation
• Flexible schedule and off-site services available for groups of more than four travelers.
• Dedicated travel clinic consultants are committed to answer all your health-related questions and will not rush you through your appointment like other similar services.
• We pride ourselves in giving exceptional travel clinic services and will offer full visit fee refund if you are not completely satisfied for whatever reason. Here are some reviews on Yelp about our travel clinic services.

Fees

One of the most reasonably priced full service travel health services in the area. Travel Clinic appointment fee:

• Travel Clinic appointment fee:
  $60 for the first person, $30 for each additional person up to four. No additional fee for follow-up visit(s). Please call to inquire about group rates and off-site services.
• Immunizations:
  $25–$350 per vaccine if insurance does not cover. We will always attempt to bill your insurance first.

Travel Clinic Hours

Monday - Thursday: 9:00 AM - 1:00 PM; 2:00 PM - 3:00 PM
Friday - Sunday: Closed

(ATTENTION: Please schedule at least two business days before your appointment to give pharmacy travel clinic staff enough time to prepare for your visit.)

We recommended that the initial travel visit be scheduled using our online scheduling system at least 4-6 weeks before departure and that at least 60 minutes be allotted for this visit. Please allow additional time if more than one individual is to be seen, if children are traveling, or if the traveler has special health care needs. When prompted to complete an online questionnaire, please provide specific and detailed information so our travel clinic consultant can assess your travel-related health and vaccination needs.

Vaccination

Express Flu Shot Service

Flu shots are now available at the Tulalip Clinical Pharmacy without an appointment. To avoid long wait during the flu season, you can also opt for the express flu shot service by scheduling your flu shot and completing the required administration form online. All the processing and preparation will be done ahead of time before your arrival.

Did you know that you never outgrow the need to be immunized? It’s true. While we outgrow our need for some childhood vaccines, adults need immunizations too. Which vaccines you need depends on many factors: your age, your health concerns, your occupation, and with whom you live or spend time.

At the Tulalip Clinical Pharmacy, our pharmacists are trained and certified to give immunizations of all types. You do not need an appointment for most routine immunizations. For faster service, stop by during non-peak hours from 9:00 – 11:00 AM and from 2:00 – 4:30 PM.

Are you planning on a trip overseas? Schedule an Appointment with one of our clinical pharmacists to receive all required vaccinations and personalized trip consultation. Travel vaccination record and certificate required for entry by some countries will also be provided. You can get more information about travel immunizations on our Travel Clinic page.

Wondering what kind of vaccinations you need? Don’t worry. Our computers have a bi-directional communication link with the state immunization registry and can retrieve your immunization history instantly. Our immunizing pharmacists will use this information to provide a customized immunization plan for you.

Recommended Immunizations

Protect Your Child

I am considering not vaccinating my child. What happens if I decide not to vaccinate?

• About Vaccines for your Children
• Without immunizations handout
• What if we stopped vaccinations?
• Vaccine-preventable diseases: Unprotected stories

General Information Links

• Centers for Disease Control and Prevention (CDC) National Immunization Program
• Immunization Action Coalition’s Vaccine Information for the Public and Health Professionals
• National Foundation for Infectious Diseases
• National Network for Immunization Information

Other Shots

Pharmacist Administered Injections

In addition to vaccinations our pharmacists at the Tulalip Clinical Pharmacy are very experienced in giving many other kinds of injections. If your health care provider has prescribed an injectable medication for you, our pharmacists can administer it.

If you are a prescriber who would like to prescribe an injection, consider referring your patient to us for administration.

Pharmacists at the Tulalip Clinical Pharmacy play an important role in these programs that are set up by the health care providers. When patients receive Suboxone® treatment to assist their efforts in quitting a dependency on a substance they receive private one-on-one counseling. In these regular counseling sessions with the pharmacist the treatment plan will be discussed, and patients receive encouragement and positive reinforcement for changing their lives.

Our consulting rooms assure privacy and confidentiality. At each visit we check to see how your medications are working, and keep in close contact with the prescriber. Since these visits are usually short, you do not need an appointment. For faster service stop by during non-peak hours from 9:00–11:00 AM and from 2:00–4:30 PM.

Here are some examples of the injectable medications we currently administer at Tulalip Clinical Pharmacy:

• Depo-Provera (depo-medroxyprogesterone acetate)
• Enbrel (etanercept)
• Pegasys (peginterferon alfa-2a)
• RhoGam (rho(D) immune globulin)
• Risperdal Consta (risperidone)
• Vitamin B12 (cyanocobalamin

Substance Abuse

Medication Monitoring

Drug abuse is a growing problem in Washington State where it is estimated that almost 12% of teens use medicines for non-medical reasons.¹ The Tulalip Clinical Pharmacy works with prescribers to help ensure that their patients receive the right medicine at the right time. This one-on-one counseling at the pharmacy entails observed administration of disulfiram (Antabuse®) or buprenorphine/naloxone (Suboxone®). Pharmacists at the Tulalip Clinical Pharmacy find it rewarding to play a small part in assisting patients go from chemical dependence to individual independence as they make positive changes in their lives.

Antabuse® Direct Observation Program

Patients are prescribed disulfiram (Antabuse®) to maintain alcohol abstinence. In order to ensure patient compliance with the treatment regimen, it is often prescribed to be taken under the direct observation of a health care provider or other care taker. At the Tulalip Clinical Pharmacy there are private counseling rooms where a program patient meets with a pharmacist who administers the medication and gives counsel about the treatment regimen. The encounter is documented in the clinic-based electronic health record for patient and provider convenience.

Suboxone® Counseling Program

Pharmacists at the Tulalip Clinical Pharmacy play an important role in these programs that are set up by the health care providers. When patients receive Suboxone® treatment to assist their efforts in quitting a dependency on a substance they receive private one-on-one counseling. In these regular counseling sessions with the pharmacist the treatment plan will be discussed, and patients receive encouragement and positive reinforcement for changing their lives.

Reference:

1. Data compilation from: Washington State Department of Health, Office of the Department of Commerce, Family Policy Council and Liquor Control Board (2010). Washington State Healthy Youth Survey 2008 Analytic Report. January 2010. Available online at: www.doh.wa.gov; United States Department of Health and Human Services, Substance Abuse and Mental Health Administration, Office of Applied Studies (2008). State Estimates of Substance Use from the 2004-2006 National Surveys on Drug Use and Health. Rockville, Md.