Medication Therapy Management
Our plan offers a program to help you manage your medications when you have several medical conditions and take many prescription drugs to treat those conditions. This program is called the Medication Therapy Management Program, or MTMP. Our team of clinical pharmacists offers an over-the-phone or in-person consultation to help you and your doctor choose the drugs that work best to treat your medical conditions. They also help you get the greatest health benefit from your medications by:
Reviewing your prescription and over-the-counter drugs, including side effects, drug interactions and more.
Addressing concerns you have about your drugs, including anything that may prevent you from taking them as prescribed.
Possibly reducing your drug costs by providing you and your primary care practitioner with cost-effective alternatives.
Following the consultation, you will be provided with a written summary of the consultation, including what you talked about with the pharmacist and a list of all of your current medications.
Who is eligible to participate?
The program is an extra service that is voluntary and at no cost to eligible members who meet the following criteria:
You have at least 2 of the following chronic diseases:
Alzheimer Disease
Bone Disease (Osteoporosis) – Arthritis – Rheumatoid Arthritis
Chronic Congestive Heart Failure (CHF)
Diabetes
Dyslipidemia – High Cholesterol
End-Stage Renal Disease (ESRD)
Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS)
Mental health (including depression, schizophrenia, bipolar disorder, and other chronic/disabling mental health conditions)
Respiratory Disease (including asthma, chronic obstructive pulmonary disease (COPD), and other chronic lung disorders)
You are taking at least 8 medications covered by Medicare Part D that are being used to treat these chronic diseases.
You spend more than $1,623 each year on drugs.
-OR-
You are an at-risk beneficiary (ARB) under a Drug Management Program (DMP), regardless of meeting the other criteria above.
How will I be notified if I am eligible?
If you are eligible, you will be mailed a letter inviting you to participate in the program. Presbyterian identifies our members that are eligible at the beginning of every month, so you may receive the invitation letter at any time during the year. You may also receive an email or a telephone call inviting you to participate.
If you do not want us to contact you, just tell us. We will remove you from the program.
What are the services provided?
Our goal is for you to be on the best medications to help you manage your conditions. If you want to continue, one of our pharmacists or pharmacy interns, under the direct supervision of a pharmacist, will connect you with the following services:
Annual Comprehensive Medication Review (CMR): Conducted by phone or face-to-face, a CMR creates a collection of all your medication-related information. The pharmacist will go over your medications and medical conditions and may contact your prescribing doctor. The CMR takes approximately 30 minutes, is usually offered once each year—if you qualify, and addresses concerns you may have about the medications you take, including:
Prescription drugs
Over-the-counter (OTC) medicines
Herbal therapies
Dietary supplements and vitamins
Written Summary: Within 14 days of the CMR, you’ll receive a standardized post CMR takeaway letter which includes a "Recommended To-Do List" detailing the conversation with the MTM provider, a Personal Medication List, and may contain medication safe disposal information.
Quarterly Targeted Medication Reviews (TMR): TMRs identify potential concerns. Our MTMP pharmacists will fax your doctor with suggestions about drug therapies that may be safer, or work better than your current drugs. As always, your prescribing doctor will decide whether to consider our suggestions. Your prescription drugs will not change unless you and your doctor decide to change them.
A review with a pharmacist is important. Different doctors may write prescriptions for you without knowing all the prescriptions and/or OTC medications you take. For this reason, a pharmacist will:
Discuss how your prescription and /or OTC medications may affect each other.
Explain how your prescription and/or OTC medications may cause side effects and offer suggestions.
Help you get the most benefit from all of your prescription and/or OTC medications.
Review opportunities to help reduce your prescription drug costs.
Reviewing your medications with a pharmacist can result in real peace of mind and the knowledge you need to take medications safely. If you want to participate in our MTMP but need assistance, you can authorize someone on your behalf. Your MTMP pharmacist can work with other authorized team members to help you reach your health goals.
What is the time commitment?
The length of the consultation depends on several things, such as the number of medications you are taking, the number of conditions you have, and your concerns about your medications. Most appointments take between 30 and 60 minutes. The pharmacist may also contact you after the appointment to make sure all issues have been resolved.
How can I begin participating?
To learn more about the program or to schedule your first appointment, please contact the Presbyterian Pharmacy Services Department at
or toll-free at . Pharmacists are available Monday through Friday from 8:00 am to 5:00 pm to assist you.How can I keep track of the medications I am taking right now?
Keeping a detailed list of your current medications may help you keep track of your medications and how to use them in the right way.