What's Medication Therapy Management?

When you have a chronic health condition, like diabetes, COPD, rheumatoid arthritis, Alzheimer's disease or heart failure, taking the right prescriptions can make a big difference. 

Our free Medication Therapy Management program helps make sure the prescription drugs you're taking are working for you. It also helps us identify any potential issues such as high costs, drug interactions and side effects.

How do I know if I'm eligible?

If you're eligible, we'll send you a letter letting you know you're enrolled. The letter will contain more information about how the program works and how it can help you. 

You're eligible if you meet at least one of the two following qualifications:

  1. Be an At-Risk Beneficiary as defined by the BCBSM/BCN internal drug management program
  2. Meet all of the following criteria: 
    • Have at least three qualifying chronic health conditions such as diabetes, COPD, rheumatoid arthritis, Alzheimer’s disease or heart failure, and
    • Take eight or more maintenance prescriptions for Part D drugs each month, and
    • Spend at least $5,330 on Part D prescription drugs each year

While this program isn't a benefit, it's included in all our Medicare plans that include prescription drug coverage. Your enrollment is free, voluntary and doesn’t affect your drug coverage under Medicare.

How does it work? 

At least once per quarter, our pharmacy team will check your list of medicines. We call this a Targeted Medication Review. We may call you or your doctor if we see any potential problems.

At least once a year, we'll offer to talk to you about how to use your prescriptions safely. This is called a Comprehensive Medication Review and takes about 30 minutes. We encourage you to participate.  

We'll give you a Recommended To-Do List to help you get the most from your medicines. Plus, we'll send you a Personal Medication List to help you remember the medicines you're taking. Or you can download a blank copy of the Personal Medication List (PDF)

We will send you information about safe medication disposal. You can also find information on how to safely dispose of medications you no longer need, including the location of medication take back sites near you.

If you have any other questions about this program or want to know if you qualify, call the number on the back of your member ID card.


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