What is Medication Therapy Management?
Alignment Health Plan has a free voluntary program for members who have multiple medical conditions, take many prescription drugs, and have high drug costs. We utilize this program to help members manage medications and make sure our members are receiving medications according to their medical conditions, identify any possible medication interactions, duplication of therapy, and review drug dosages according to the appropriate prescribing standards.
Please note that the Medication Therapy Management Program (MTMP) is not considered a benefit. It is available to you at no cost if you qualify. You will be automatically enrolled in this program if you meet all of the following three criteria:
- Have three or more chronic medical conditions, such as
- Chronic Obstructive Pulmonary Disease (COPD)
- Chronic Heart Failure (CHF)
- Rheumatoid Arthritis
- Alzheimer's Disease
- Bipolar Disorder
- Take eight or more Medicare Part D covered drugs
- Expect to spend more than a specified amount on covered Medicare Part D prescriptions:
- More than $4,255 in 2020
- More than $4,376 in 2021
The MTMP offers a comprehensive review of all your medications and discusses with you over the phone on how to better manage your conditions with drug therapy. If you are eligible for this program, you will be notified by mail. We will then contact you by telephone to perform this service. Each session takes about 30-40 minutes. After the telephone session, we will send you a Personal Medication List (PML) and Medication Action Plan (MAP), which are summaries of what we’ve talked about. We will also perform Targeted Medication Review quarterly and may contact you or your doctor directly if there are questions about your medications.
Click on the link below for a sample of the Personal Medication List
Medication Therapy Management Program : Personal Medication List
If you would like additional information about the program, please call our Member Services Department at 1-866-634-2247 (TTY 711), 8:00 a.m. to 8:00 p.m., 7 days a week (except Thanksgiving and Christmas) from October 1 through March 31, and Monday to Friday (except holidays) from April 1 through September 30. Calls to this number are free. Member Services also has free language interpreter services available for non-English speakers. TTY requires special telephone equipment and is only for people who have difficulties with hearing or speaking.
Page last updated on 9/13/2021 | Y0141_21079EN