Administration

Medication Therapy Management (MTM)

Medication therapy management (MTM) is a service, provided by pharmacists in collaboration with physicians and other healthcare providers, to enhance a patient’s knowledge of medications and increase adherence to prescription medication regimens, and also to detect potential adverse drug events and patterns of over-use or under-use of prescription drugs.  MTM is provided to actively manage overall drug therapies and may consist of medication reviews, pharmacotherapy consults, disease management support, drug therapy management, drug safety surveillance, and health and wellness education.

Rider 49 requires the Health and Human Services Commission (HHSC) to implement a MTM pilot program aimed at reducing adverse drug events and related medical costs for a subset of high-risk Texas Medicaid clients. The interim report is a summary of the first five months of the MTM pilot program operation and includes interim data and outcomes.  The interim report focuses on pharmacy and client enrollment; patient’s needs and corresponding MTM interventions; the outcome of the interventions; and estimated cost savings for the reporting period (April 27, 2012, to September 19, 2012). A final report will be produced in May 2013.

Clinical and Economic Outcomes of the Texas Medicaid Medication Therapy Management (MTM) Pilot

Medicaid Drug Utilization Review Annual Reports

The Social Security Act requires each state to submit an annual report on the operation of its Medicaid Drug Utilization Review program to the Centers for Medicare & Medicaid Services.

Drug Use and Expenditure Patterns – Quarterly Reports

The following reports provide prescription drug use and expenditure information for the most prescribed individual drugs and therapeutic drug classes.  Every quarter the year-to-date report is updated and a new set of quarterly reports is added.  The state fiscal year runs from September through August.

Drug Use and Expenditure Patterns – 2012 Quarterly Reports
Timeframe Top 100
Prescription Drugs
Top 50
Therapeutic Classes
Fiscal Year to Date through Quarter 4 YTD through Q4 by Expenditure
YTD through Q4 by Drug Use
Top 50 TC YTD by Expenditure
Quarter 4 Q4 by Expenditure
Q4 by Drug Use
Top 50 TC Q4 by Expenditure
Quarter 3 Q3 by Expenditure
Q3 by Drug Use
Top 50 TC Q3 by Expenditure
Quarter 2 Q2 by Expenditure
Q2 by Drug Use
Top 50 TC Q2 by Expenditure
Quarter 1 Q1 by Expenditure
Q1 by Drug Use
Top 50 TC Q1 by Expenditure

Drug Use and Expenditure Patterns – 2011 Quarterly Reports
Timeframe Top 100
Prescription Drugs
Top 50
Therapeutic Classes
Fiscal Year to Date through Quarter 4 YTD through Q4 by Expenditure
YTD through Q4 by Drug Use
Top 50 TC YTD by Expenditure
Quarter 4 Q4 by Expenditure
Q4 by Drug Use
Top 50 TC Q4 by Expenditure
Quarter 3 Q3 by Expenditure
Q3 by Drug Use
Top 50 TC Q3 by Expenditure
Quarter 2 Q2 by Expenditure
Q2 by Drug Use
Top 50 TC Q2 by Expenditure
Quarter 1 Q1 by Expenditure
Q1 by Drug Use
Top 50 TC Q1 by Expenditure