Medication Therapy Management Flashcards
7 cards from real CCP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medication Therapy Management flashcards as text
Under CMS guidelines, which Medicare beneficiaries are REQUIRED to be targeted for MTM program enrollment?
Answer: Patients with 3+ chronic conditions, 8+ medications, and likely to incur $5,503+ annual drug costs
CMS requires MTM programs to target beneficiaries with 3+ chronic conditions, 8+ Part D drugs, and an annual drug cost threshold of at least $5,503.
A pharmacist conducting a Comprehensive Medication Review (CMR) identifies a drug therapy problem where a patient is taking an NSAID chronically without a gastroprotective agent despite a history of peptic ulcer disease. This is best classified as:
Answer: Needs additional drug therapy
The absence of a required gastroprotective agent in a high-risk NSAID user represents a need for additional drug therapy to prevent a known complication.
When documenting a CMR using the SOAP note format, the medication action plan (MAP) is best incorporated into which section?
Answer: Plan
The MAP, which outlines recommended patient actions, is a patient-friendly document that corresponds to the Plan section of the SOAP note.
A 78-year-old patient on warfarin reports adding cranberry juice to his daily routine. Which monitoring parameter should the pharmacist prioritize reassessing most urgently?
Answer: INR
Cranberry juice inhibits CYP2C9, increasing warfarin exposure and elevating bleeding risk, making INR the most urgent parameter to reassess.
During a Targeted Medication Review (TMR), a pharmacist identifies that a patient's beta-blocker dose was reduced by the PCP but the pharmacy refill record shows the patient is still dispensing the old higher dose. The most appropriate initial action is:
Answer: Contact the prescriber to clarify the intended dose
A discrepancy between the prescriber's intended dose and actual dispensing requires immediate prescriber clarification to prevent overmedication.
Which of the following best describes the primary distinction between a CMR and a TMR in an MTM program?
Answer: CMR is a comprehensive annual review; TMR is an ongoing, targeted assessment between CMRs
A CMR is a comprehensive once-yearly review of all medications, while a TMR is an ongoing, problem-focused assessment conducted between CMRs.
A pharmacist is reconciling medications for a newly admitted long-term care resident and discovers the patient has been taking two different brand/generic versions of the same antihypertensive prescribed by two separate physicians. This best represents which type of drug therapy problem?
Answer: Unnecessary drug therapy due to therapeutic duplication
Receiving the same drug from two prescribers under different names constitutes therapeutic duplication, classified as unnecessary drug therapy.