Enhanced medication therapy management program for Medicare patients
We’re launching an enhanced Medication Therapy Management (MTM) program to all Priority
Health Medicare members. The free program uses specially trained network pharmacists to:
- Ensure Medicare members are getting the best results from their medications
- Help Medicare members control their out-of-pocket costs
Because many Medicare members have multiple doctors prescribing drugs, the MTM program is
designed to complement doctors’ work by coordinating all prescriptions.
An MTM pharmacist may call or fax you with recommendations for medication changes. We
encourage you to work with the MTM pharmacists to ensure appropriate medication use for your
patients. You may also be contacted by a Priority Health Medicare member.
We’re partnering with Outcomes Pharmaceutical Health Care® (Outcomes®) to administer the
program. The services offered include:
- Comprehensive medication review. The pharmacist will meet with your patients to review
all of their medications, including OTCs, herbals and supplements. This will help identify any
drug-related problems such as duplications, drug interactions, missing therapy, dose titration,
under- and over-utilization, etc.
- Drug information. When starting a new medication, the pharmacist will:
- Talk to your patients about its purpose and correct use
- Follow-up to make sure the drug is working right and the patient isn’t experiencing any drug-related adverse effects
- Targeted intervention. This service identifies members using brand-name medications when generic options are available. It also identifies medication-related quality
interventions that support PIP and HEDIS, such as beta-blocker post-MI and appropriate
asthma medication use.
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