Medication Therapy Management Program

Call Member Services at 1-800-926-6565 (TTY 1-800-955-8770)

Hours: 8 a.m. to 8 p.m. local time, seven days a week, from October 1 through March 31, except for Thanksgiving and Christmas. From April 1 through September 30, our hours are 8 a.m. to 8 p.m. local time, Monday through Friday, except for major holidays.

Medicare Advantage (Part C) Plans & stand-alone Medicare Prescription Drug (Part D) Plans

The Medication Therapy Management (MTM) program reviews the medicines you take to make sure that they’re safe, work well and fit your lifestyle. Our team of pharmacists will work with you one-on-one to make sure you get the best results from the medications you take. Plus, they’ll work with your doctor if there are any issues with your medications. This program is 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 is the right choice if you need answers to questions below.

Why am I taking these medicines?
Do over-the-counter products interact with my prescriptions?
Can I save money on my prescriptions?
The program can also help you and your doctor make sure that your medicines are the best choice for you.

Save money on your medications

Taking part in the MTM program may also help you save money on your medications. Your Comprehensive Medication review may show that you don’t need all the medications you take. Your MTM pharmacist also may be able to suggest lower-cost medications that will work for you. The MTM program may help you:

• Find out if there are generic versions of the brand-name medications you take.
• See how your plan’s drug list (called a formulary) can help you save money.

Discover if you are taking any duplicate medications.

You are automatically eligible for participation in the MTM program when you have chronic health conditions, including but not limited to diabetes, high blood pressure and heart disease.

AND

Take eight or more prescription medications covered by Medicare Part D.

AND

On prescription medicines covered by Medicare Part D, expect to spend more than:
• $1,623 in 2025

OR

You are an at-risk beneficiary.
Beneficiary at-risk for misuse or abuse of frequently abused drugs, with an active coverage limitation under a Drug Management Program.

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

These services are provided by telephone, or, in some cases, in person.

The MTM program is a two-part program. Reviews may be done over the phone, whenever it’s convenient for you. In some cases, you may have an in-person review.

For a Comprehensive Medication Review (CMR)

This personalized review lets you talk one-on-one with a licensedn MTM pharmacist.

During your yearly Comprehensive Medication Review, you will:
•   Talk one-on-one with a licensed MTM pharmacist about your medications
•   Learn more about your medications, such as how they work, possible side effects and more.
•   Get answers to any questions you have about your medications.
•   After the review, you will get a complete list of your medications and an action plan on how to take them safely. If your MTM pharmacist has any concerns with your medications, they will contact your doctor as well.

To get ready for your review make a list of all the medicines you take. Write down even over-the-counter medicines or supplements. Include how much you take each day and how often you take them. The pharmacist will review your list and talk about it with you. This usually takes about 30 minutes.

After your review, you’ll get a complete list of your medicines — a personal medication list and an action plan that you can bring with you to your next doctor’s visit.

For a Targeted Medication Review (TMR)

Every few months, the program reviews your prescription claims to make sure there are no issues that need attention. If the review identifies any issues, we may contact your doctor.

If you’re eligible for MTM, you’re automatically enrolled. You’ll get a letter or 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.

To opt out:

Florida Blue members enrolled in Medicare Advantage HMO, LPPO and stand-alone Part D plans
• Call 1-833-823-5457 (TTY 1-800-955-8770), Monday to Friday, 9 a.m. to 6 p.m., ET, except holidays
• Email: MedicarePharmacyVM@bcbsfl.com

You may also choose to take part in only certain services you find valuable. You can change your enrollment status at any time during the calendar year. Your prescription drug coverage will not change if you take part in the MTM program or not.

For more information

Florida Blue members enrolled in Medicare Advantage HMO, LPPO and stand-alone Part D plans
• Call 1-833-823-5457 (TTY 1-800-955-8770), Monday to Friday, 9 a.m. to 6 p.m., ET, except holidays

The MTM program is a service offered to eligible members at no extra cost; this service is not considered a benefit.

Safe disposal of prescription drugs

Unneeded, unused, or expired medications should be disposed of as soon as possible. This is especially important for controlled substance medications to avoid accidental poisoning, misuse, or abuse. The best way to dispose of most types of medications is to take them to a local Drug Take Back Site or Program.

Drug take back sites

The U.S. Drug Enforcement Administration (DEA) and its partners collect and safely dispose of medications as a service to communities. Based on your address, we have provided two sites in your community; we suggest visiting the DEA website for more locations that may be convenient for you at:
• DEA Ta keback
• U.S. Department of Justice Drug Enforcement Administration

Drug Take Back Programs

The U.S. Drug Enforcement Administration (DEA) sponsors National Prescription Drug Take Back Days in communities nationwide, usually in April and October. Many communities also have their own drug take back programs. Local law enforcement officials and pharmacies are a good source of information on DEA Take Back Days. More information is available online at:
• Where and How to Dis pose of Unused Medicines
• National Prescription Drug Take Back Day

How to dispose of medicines at home

When a take-back option is not readily available, two options for disposing of medications at home are:

Flush the medication down a sink or toilet if the drug is on the FDA Flush List.

Trash disposal if the drug is NOT on the FDA Flush List, follow these steps:
1.   Remove the drugs from their original containers and mix them with something undesirable, such as used coffee grounds, dirt, or cat litter. This makes the medicine less appealing to children and pets and unrecognizable to someone who might intentionally go through the trash looking for drugs.
2.   Put the mixture in something you can close (a re-sealable zipper storage bag, empty can, or other container) to prevent the drug from leaking or spilling out.
3.   Throw the container in the garbage.
4.   Scratch out all your personal information on the empty medicine packaging to protect your identity and privacy. Throw the packaging away.

More information on the safe disposal of medications is available from the U.S. Department of Health and Human Services. Other options may be available for safe disposal of medications, such as disposal packets and addressed envelopes for mailing. Ask your pharmacist or other health care provider for more information.

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Last Updated: 10.01.2024
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Medication Therapy Management