TLC With MTM
In TLC with MTM, TLC was expanded to include referral and consultation with a pharmacist to prescribe bupropion, varenicline, nicotine spray, nicotine inhaler, or combination medications (eg, bupropion with NRT). Because this was a pragmatic trial, participants could decline referral. If referred, participants were not obliged to use medications, but pharmacists promoted their use. Prescribed medications were covered by participant’s health insurance. The first visit with the pharmacist was in-person, if possible, and about 1 hour in duration. Typically, 3 to 6 follow-up phone calls (5 to 10 minutes duration) were offered throughout a 12-week period but depended on participant interest and progress. The pharmacist was available until the end of the 1-year intervention period. While the TLC counselor continued to interact with the participant during MTM, the pharmacist had primary responsibility for medication management.