2018 Medication Therapy Management MTM Program
Category: Programs to Help Member Manage Medication Safely
Our Medication Therapy Management (MTM) program can help our members who have special situations manage their medications.
Members who have three or more of the following medical conditions, take 8 or more drugs at the same time, and have very high drug costs, are likely to be eligible for our program.
- Alzheimer’s Disease
- Benign Prostatic Hyperplasia (BPH)
- Bipolar Disorder
- Bone Disease (Osteoporosis)
- Chronic Heart Failure
- Chronic Lung Disorder
- Diabetes Mellitus
- End-Stage Renal Disease (on dialysis)
- Respiratory Disease (Chronic Obstructive Pulmonary Disease)
- Rheumatoid Arthritis
This program is voluntary and free to members. A team of pharmacists and doctors developed this program. The program can help make sure that our members are using the drugs that work best to treat their medical conditions and help us identify possible medication errors. As part of the MTM program, eligible members receive a Comprehensive Medication Review (CMR) followed by Targeted Medication Reviews (TMRs). Upon completion of a CMR, the member is mailed a Medication Action Plan and Personal Medication List that can be taken to their doctor’s appointment for further medication management.
This program is not a benefit; therefore, if you qualify for our program based on our criteria, we will automatically enroll you in the program and offer you program services over the phone or send you information by mail. If you decide not to participate, please notify us and we will withdraw your participation from the program.
If you have any questions,
Call Member Services at 1-800-559-3500 for additional information. (TTY Users: 711). Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31.
From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Messages received on holidays and outside of our business hours will be returned within one business day.
You can also contact us via email at email@example.com.
Click here if you would like to access a blank copy of the Personal Medication List for your reference.
Haga clic aquí si desea tener acceso a una copia en blanco de la lista personal de medicamentos para su referencia.