MTM Vaccine Incentives Feedback

Pharmacy Utilization Feedback

Ohio's Managed Care Organizations are requesting feedback on their Medication Therapy Management (MTM) COVID-19 Vaccine Incentives. We appreciate your feedback on behalf of your pharmacy/ies!

1. What is your pharmacy name? *This question is required.

2. What is your pharmacy address? *This question is required.

3. What is the email of your vaccine point person? *This question is required.

4. Do you have access to the OutcomesMTM platform? *This question is required.

5. Do you have access to CSS Health's MTM platform? *This question is required.

6. Do you utilize OutcomesMTM and CSS Health MTM platforms for COVID-19 related patient TIPS? *This question is required.

7. If you answered "No" to the question above, please state why you do not use the MTM platforms: