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Medication Therapy Management

Medication Therapy Management

If you have several complex health conditions or take many drugs, our no-cost Medication Therapy Management (MTM) program is designed to help you manage your drugs and cut your risk for problems. A pharmacist will work with you and your doctor to help make sure the drugs you are taking are safe and work well for you. We will look at all of your drugs, including prescription and over-the-counter drugs, vitamins, and herbal products. All members, including those not on MTM, can use this personal medication list to keep track of their medications. 

You will be automatically enrolled in MTM if you:

  • Take eight or more Medicare Part D-covered maintenance drugs, and
  • Have three or more long-term health conditions, such as diabetes, asthma, or high blood pressure, and
  • Spend more than $3,919 a year on your drugs.

If you qualify, we will notify you by mail, phone, or email and invite you to have a comprehensive medication review (CMR) with a pharmacist. The pharmacist will take about 15-30 minutes of your time to help you better understand your medications and make sure your medications are the safest for you. After the review, you will get a personal medication plan and medication list to help you with managing your medications. The CMR is usually performed over the phone but can also be performed at your local pharmacy. Ask if your local pharmacy provides this service on behalf of FamilyCare Health. 

Please note that not all plan members will qualify for the MTM program, therefore the program is not considered a benefit.

If you would like more information about this program, or if you do not wish to take part in the MTM program, call Navigation Services at 866-798-2273 (TTY/TDD 711). 

FamilyCare Health is an HMO with a Medicare and Oregon Health Plan (Medicaid) contract. Enrollment in FamilyCare Health Medicare Advantage plans depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. If you enroll in FamilyCare Community (HMO SNP), the Oregon Health Plan will pay your Part B premium for you. FamilyCare Community (HMO SNP) is available to people who qualify for Medicare and the Oregon Health Plan (Medicaid). Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

Y0103_WEB_00354 — Approved (Updated 10/05/2017)

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