Table.

Summary of potential challenges to provision of MTM plus PGx testing service by community pharmacists.

Timing of and Access to PGx Testing Timing PGx testing for making optimal drug decisions Access to PGx test results done in various clinical care settings Ability of pharmacists to order PGx testing Extended MTM Sessions Pharmacist time constraints in community practice Uncertain added time needed for Initial and follow-up session needed to introduce testing/discuss test results Uncertain feasibility of discussing PGx testing by phone versus face-to-face Information Technology Potentially limited access to patient’s electronic health record Need to integrate PGx test information into health IT tools for MTM Training & Workforce Limited PGx education in pharmacy curriculum Need for continuing education as PGx field grows Standards-Setting Development of standards for integrating PGx testing into MTM practice to provide consistent and documentable added value Consideration of pharmacist liability Reimbursement Obtaining adequate reimbursement for MTM plus PGx testing service