Our Medication Therapy Management Program (MTMP) is focused on improving therapeutic outcomes for Medicare Part D members. While this service is 100% free to our members, to qualify for MTM, a member must meet all of the following criteria:
- Members must have filled eight or more chronic Part D medications; and
- Members must have at least three of the following ten chronic conditions:
- Alzheimer’s Disease
- Bone disease-arthritis (including Osteoporosis, Osteoarthritis, and Rheumatoid Arthritis)
- Chronic Congestive Heart Failure (CHF)
- Diabetes
- Dyslipidemia (High Cholesterol)
- End Stage Renal Disease (ESRD)
- Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS)
- Hypertension (High Blood Pressure)
- Mental Health (including Depression, Schizophrenia, Bipolar Disorder, and other chronic/disabling mental health conditions)
- Respiratory Disease (including Asthma, Chronic Obstructive Pulmonary Disease (COPD), and other chronic lung disorders
- Member is likely to incur annual costs of $1,623 in 2025 on prescription drug costs (includes amounts paid by both you and the plan).
OR
Are in a Drug Management Program to help better manage and safely use medications such as opioids and benzodiazepines.
What Services Do We Offer?
Comprehensive and Targeted Medication Reviews will allow us to examine your current medications and make sure they are safe for you. We will answer any questions or concerns that you may have about your medications, including any possible lower-cost alternatives. If needed, we will work with you on ways to keep track of your medications and send you a summary of what was discussed.
- Annual Comprehensive Medication Review (CMR): A yearly check-up of all your medications with a pharmacist. You will get a written summary of this review.
- Quarterly Targeted Medication Reviews (TMRs): Regular checks to ensure your medications are working well for you.
- One-on-One Help: You can talk to a pharmacist in person or over the phone about your medications.
- Safe Disposal Information: Each year, we will give you information on how to safely dispose of certain prescription medications.
How Does Enrollment Work?
You will be automatically enrolled in the MTM program if you qualify, but you can choose to opt-out if you prefer. We will check each quarter to see if you still qualify.
What documents are needed?
- Be prepared by having a list of your current medications. You can find a sample medication list here (attach document).
Commitment to Your Health
We are dedicated to providing a safe and effective MTM program that follows all the necessary rules and guidelines. Your health and safety are our top priority!
If you have any questions about the MTM program or want to learn more, please reach out to your preferred pharmacy or call us at 1-833-201-6413 TTY:711.