If you have complex health needs, you may be eligible to participate in our Medication Therapy Management (MTM) program, designed to help you and your doctor make sure that your medications are working. Our MTM program is provided at no additional cost to you.

Our MTM program includes a free discussion and review of all of your medications by a pharmacist or other health professional to help you use them safely. You will get a summary of this discussion to help you get the most benefit from your medications. You can have this summary available when you talk with your doctors or other health care providers.

Download our brochure to learn more about the Medication Therapy Management program, program criteria and eligibility requirements below.

Program Features

Our MTM Program offers you the following:

• Enhances the member’s understanding through education and interventions that promote the appropriate use of the  medications, and reduces the risk of potentially adverse events associated with the use of the medication
• Increases member adherence to prescription medication regimens by providing refill reminders, compliance programs
• Promotes detection and reduction of adverse drug events such as falls, mental confusion and delirium, and patterns of overuse and underuse of prescription drugs
• Offers health risk assessments, prescription drug treatment plans, managing high cost specialty medications and evaluating and monitoring patient response to drug therapy.
• Sends communications to prescribers discussing medication risks and suggested alternatives or corrective therapy recommendations.
• Performs Targeted Medication Reviews (TMRs) based upon specific clinical issues. These are sent as letters or faxes to you or your prescriber regarding the information reviewed. If the specific issue is deemed to warrant additional outreach, a follow up call may be necessary to you or your prescriber to ensure optimum therapy is achieved.
  

Additional Information

Once enrolled, members receive quarterly mailings and newsletters in addition to a welcome enrollment kit. Materials focus on disease education, wellness and prevention, proper medication utilization, proper diet and exercise as well as lifestyle modifications. Members receive written materials when interventions or other opportunities are noted and include refill reminders and cost savings opportunities. Members in the MTM program will also receive information on the safe disposal of prescription medications that are controlled substances.

The MTM Program is not considered a Medicare benefit. It is available at no additional fee to those beneficiaries who meet the criteria above. The program is voluntary and beneficiaries can opt out at any time. Although you don’t have to participate, it is recommended that you take full advantage of this free service if you are selected.

Personal Medication List

Even if you don’t participate in the MTM program, it is still a good idea to create a Personal Medication List to help you and your caregivers keep track of what medications you need to take. Having a Personal Medication List can reduce your medication risks and prevent medical errors.