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What is Medication Therapy Management?
The Medication Therapy Management (MTM) program reviews the medicines you take to make sure that they're safe, work well and fit your lifestyle. This program is a service offered at no additional cost to eligible members. This service is not considered a benefit.
The goal is to help you get the best results from your medicines, at the lowest possible price. The MTM program can help you:
The program can also help you and your doctor make sure that your medicines are the best choice for you.
Who's eligible for MTM?
You are automatically enrolled if you meet the following criteria:
1. Have three or more of the following conditions:
2. Take eight or more prescription medications covered by Medicare Part D.
3. Expect to spend more than $3,967 in 2018 on prescription medicines covered by Medicare Part D.
What You Can Expect
The MTM program is a two-part program. Reviews can be done over the phone, whenever it's convenient for you. In some cases, you may have an in-person review.
If you're eligible for MTM, you're automatically enrolled. You'll get a letter or a phone call letting you know how to schedule an appointment or opt out of the program.
Medicare requires us to automatically enroll you if you're eligible. But, this service is voluntary — you're not required to participate. You may also choose to take part in only certain services you find valuable. You can cancel your enrollment or choose to reenroll at any time during the calendar year. Your prescription drug coverage will not change if you take part in the MTM program or not.
The MTM Program is a service offered to eligible members at no additional cost; this service is not considered a benefit.
Our purpose is to help you get the medicine you need to feel better and live well.
For additional information, click here.
For additional information, please call our Customer Service number at 1-877-774-8592 (TTY/TDD users should call 711). We are open between 8:00 a.m. - 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays.