Mirixa facilitates the connection between insurance companies and community pharmacies to provide medication therapy management (MTM) services to eligible patients. Patients are categorized into two intervention groups—comprehensive and targeted—based on specific criteria, and pharmacists conduct medication reviews to enhance adherence and minimize drug-related problems. Overall, Mirixa's coordination improves patient care while benefiting insurance plans by reducing costs and enhancing medication compliance.

1. Using Mirixa – How Insurance
Companies and Pharmacies are Linked
VCU School of Pharmacy
PHAR534: Foundations III
Mirixa Training Module

2. Insurance
Plans
Insurance companies determine which
patients will receive MTM services by
instituting eligibility criteria.
After identifying eligible patients,
companies work with Mirixa to establish
the MTM program expectations.
Traditionally, patients are divided into
2 intervention groups:
• Comprehensive
• Targeted
#1
-Eligibility criteria
-Program expectations

3. Comprehensive vs. Targeted Interventions
Targeted Comprehensive

4. Comprehensive vs. Targeted Interventions
Targeted Comprehensive
Targeted interventions:
• Adherence
• Gaps in care
• Cost savings
• Drug interactions
• Dose adjustment

5. Insurance
Plans
#2
Mirixa
-Patient care
network
Mirixa acts as the middle-man between the insurance companies and
community pharmacies. When Mirixa knows which patients are
eligible and the services patients need, Mirixa works with their
network of pharmacies to provide patient services directly.
Community
Pharmacies

6. #3
-Medication
therapy reviews
-Targeted
interventions
Insurance
Plans
Mirixa
Community
Pharmacists
Mirixa connects pharmacies with local patients
eligible for MTM services using the online
MirixaPro platform. Community pharmacists
complete comprehensive medication reviews or
targeted interventions with patients.

7. Insurance
Plans
Mirixa
#4 Increased adherence, reduced DRPs
Pharmacists’ interventions benefit patients and insurance plans –
from increased patient medication adherence to avoidance of
drug-related problems.

8. Key Points
• Mirixa coordinates insurance companies and
community pharmacies in their network to
provide direct patient care
• Patients may be eligible for 1 of 2 intervention
programs:
– Comprehensive
– Targeted