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 $3,017 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 503-345-5702 or toll-free at 866-225-2273 (TTY 711). You can reach us from 8 a.m. to 8 p.m., seven days a week, from October 1 through February 14 (except Thanksgiving and Christmas*). From February 15 to September 30, call us Monday through Friday from 8 a.m. to 8 p.m. and on weekends from 9 a.m. to 5 p.m. (except Memorial Day, Independence Day, and Labor Day*).
*On these holidays, you can leave a voice message and we will get back to you in one business day.
FamilyCare Health Plans, Inc., is an HMO and PPO plan with contracts with Medicare and the Oregon Health Plan (Medicaid). Enrollment in FamilyCare Health 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.
Y0103_WEB_00317v2 — Approved (Updated 06/12/2017)