Medication Therapy Management - Medicare
Medication Therapy Management (MTM) Program
Blue Advantage and BlueRx are pleased to offer our Medication Therapy Management (MTM) to qualifying members. This program helps members who take multiple medications ensure the medications they take are safe, necessary, and effective. This program is a free service designed for members who meet certain criteria. If you qualify, you will be offered a no-cost Comprehensive Medication Review (CMR) conducted by our clinical team. We use this opportunity to review and discuss all of your medications, regardless of which doctor prescribed it to you. We can offer solutions to help reduce side effects, make it easier to refill and take your medications timely, and alert you to potential negative side effects caused by possible multiple drug interactions.
Since not everyone qualifies for this program, we strongly recommend you take advantage before if you do qualify before it expires at the end of the year. You may choose to opt out of the MTM program at any time during the year or you may decline individual services without having to opt out from the program. Call 888-336-4903. to opt out and request to be removed from the program and you will not be contacted again during the calendar year.
This service uses a patient centered approach so that eligible members can learn and understand their medications and how to use them safely. Often times we find that our members have multiple prescribing physicians and have medication combinations that may:
- Cause severe side effects
- Reduce the effectiveness of your medications
- Cost you more money per month
The MTM program offers a Comprehensive Medication Review (CMR) for all eligible members either face-to-face or over the phone (Call 888-336-4903). Once enrolled in the program members will receive a welcome letter explaining the benefits of the program. After you receive your letter, you will then be contacted by a partnering local pharmacy, a MTM call center, or a BCBS pharmacist about scheduling your medication review. The CMR ranges anywhere from 10 to 30 minutes and is completed annually. A pharmacist or other qualified provider will review your medication history, including prescriptions and over the counter medications, to identify and resolve any medication issues. Any confirmed issues will be communicated to your prescriber. During your review, the provider will answer any questions or concerns you may have regarding your medication and may be able to help you find more affordable options. Once completed, a Medication Action Plan will be mailed out to you that will include steps you should take to get the best results from your medications and a personalized medication list that will help keep track of your medications as well as how you should take them.
There is no added cost for participating in the program and whether or not you choose to participate has no effect on your insurance benefits. We hope you will participate. Many members tell us they value this personal service and we hope you will too!
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