2014 Medication Therapy
Management (MTM) Program


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Below is information regarding the 2014 MTM Program:


You may be eligible based on:

  • Number of medications you take
  • Certain medical conditions
  • Total yearly cost of your medication

*Services offered:

  • Yearly Comprehensive Medication Review (CMR)
  • Quarterly Targeted Medication Review (TMR)

*These services are provided via telephone, or in some cases, at your local pharmacy.


Our goal is to help you get the best results from your medication at the lowest possible price.

This program will help you:

  • Make sure all your medications are appropriate for your medical conditions
  • Learn how to improve the effectiveness of your medication
  • Address safety concerns and potential side effects
  • Understand the importance of taking your medication on time
  • Discuss ways to make your medication more affordable

What can you expect from a Comprehensive Medication Review (CMR) and a Targeted Medication Review (TMR)?


For a CMR:


You will be asked to have all your medication with you. A trained MTM nurse or pharmacist will review each of them, including how much and how often you take them. The review usually takes about 25–45 minutes. After the meeting, you will receive a summary of the discussion, a Medication Action Plan, and a Personal Medication List (PML).  A sample of the PML is included at the end of this document.


For a TMR:


Every few months a clinician from the MTM program will review specific medication issues to make sure you are getting the most benefit from your medications. Your provider may be contacted if a drug therapy problem is identified, or if there is a potential medication cost–savings for you.


It's easy to get started:


If you meet the criteria below, you will be automatically enrolled in the MTM Program. You will get a letter that tells you how to set up a CMR appointment.


There is no added cost to you for this program. You may leave the MTM program at any time. You may also choose to take part in only those individual MTM services you find valuable. Your choice to take part – or not – has no effect on your insurance benefit.


You are eligible to participate if you meet the following criteria:


1. Have three or more of the conditions listed below:

  • Asthma
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Depression
  • Diabetes
  • Heart failure
  • High blood pressure
  • High cholesterol
  • Osteoarthritis
  • Osteoporosis


2. Take six or more prescriptions, AND


3. Spend more than $3,017 on medication in 2014


For more information, call the customer or member service phone number on the back of your member ID card. Ask to speak to someone about the MTM Program.


Our purpose is to help you get the medicine you need to feel better and live well.


Personal Medication List 


For more information, visit:


https://www.myprime.com/MyRx/MyRxAssistant/forms/formulary/MTMP.pdf#page=1&zoom=100