COLLABORATIVE DRUG

THERAPY MANAGEMENT
(CDTM)
 DEFINITION
A formal partnership between
a pharmacist and a prescriber
that allows the pharmacist to
manage a patient’s drug
therapy

collaborative practice, allows

pharmacists to use their
unique skills and abilities to
complement other types of
care provided by collaborating
professionals to optimize
patient outcomes.

Academy of Managed Care Pharmacy. 2015

 CDTM HISTORICAL OVERVIEW

According to a survey of CDTM in U.S. hospitals, the prevalence of CDTM increased significantly
from fifty percent in 2003 to sixty six percent in 2013, indicating the success of collaborative health
care practice.
McBane SE. Et al. 2015. Collaborative Drug Therapy Management and Comprehensive Medication Management
Mishra P, Thomas J. 2017. Survey of collaborative drug therapy management in U.S. hospitals
 Disease conditions that are under CDTM
Many diabetics do not
Has complex monitoring receive guideline-
regimen and puts patients at a Anticoagulation Diabetes recommended therapy,
high risk for bleeding

poor adherence and inappropriate Human

medication regimens worsen heart Heart Failure Immunodeficiency
failure.
Virus (HIV)

Pharmacists help patients to

half of New Yorkers with asthma
understand that although HIV
are not well controlled mostly due
to not knowing how to use their Asthma Oncology has no cure, medications can
slow its progression and
medications properly.
prevent further complications.

Farzadeh S. 2019. An analysis of collaborative drug therapy management and its impact in New York State.
 • assessing patients;
• ordering drug therapy–related
Responsibilities laboratory tests;
• administering drugs; and
• selecting, initiating, monitoring,
continuing, and adjusting drug
regimens

Qualified Pharmacist

Synder ME, et al. 2015. Collaborative Drug Therapy Management: Case Studies of Three Community-Based Models of Care.
 Benefits

• Patients under CDTM have patients save more money by

increased access to health care having fewer drug related
and are more likely to have problems such as adverse drug
optimal drug therapy reactions, drug interactions, and
regimens. poor adherence.
• patient satisfaction with
CDTM
• patients have positive
relationships with their
pharmacists
Patient

Farzadeh S. 2019. An analysis of collaborative drug therapy management and its impact in New York State.
 Pharmacist Physician

• able to be less production-oriented and more

• fewer preventable doctor visits,
patient-focused.
• more physician patient interaction and better
management of complex cases.
• By using their knowledge and clinical skills
• physicians are more likely to be referred by
to improve patient outcomes, pharmacists
pharmacists through optimized drug therapy
demonstrate their integral role in the
regimens which reduces the cost of care.
interprofessional team.

Farzadeh S. 2019. An analysis of collaborative drug therapy management and its impact in New York State.
 CDTM key elements;

McBane SE. Et al. 2015. Collaborative Drug Therapy Management and Comprehensive Medication Management
 COMPESATION work as part of a physicians' group
practice and file for payment under
the physician's provider number
Operation of a successful CDTM
program must include adequate resource
recognized as a provider and bill a
allocation to provide patient care
managed care organization directly activities, administrative functions and
marketing/communication activities.

patients can pay cash for their

services.

Academy of Managed Pharmacy. 2012. Practice Advisory on Collaborative Drug Therapy Management