2019 Medication Therapy Management Program (MTM)
This is a free program for eligible members
Description of Services
PacificSource Medicare offers Medication Therapy Management services to eligible Medicare Part D members. Through our MTM program, we have identified specially trained Pharmacists throughout our service area to work with you and your doctor to help you get the best results from your medications while keeping out-of-pocket costs down. By using an MTM Pharmacist, you can get the extra attention you need to keep your medications on the right track.
Eligible MTM Member
The PacificSource Medicare MTM program uses an opt-out enrollment method. If you are eligible for MTM services, you will automatically be enrolled and receive an introductory letter from PacificSource Medicare. We will enroll you in the MTM program if you meet all the following criteria:
-
Members must have at least three chronic diseases
Examples include:
Arthritis
Osteoporosis
Chronic Heart Failure (CHF)
Diabetes
Dyslipidemia
End-Stage Renal Disease (ESRD)
Hypertension
Bipolar Disorder
Chronic / Disabling Mental Health Conditions
Depression
Schizophrenia
Asthma
Chronic Lung Disorders
Chronic Obstructive Pulmonary Disease (COPD)
Anticoagulation
Chronic Alcohol and Other Drug Dependence
Hepatitis C
HIV/AIDS
Multiple Sclerosis
Neurologic Disorders
Parkinson's Disease
Severe Hematologic Disorders - Members must currently be taking a minimum of three Part D chronic or maintenance medications.
- Members must expect to spend at least $4,044 per year on medications.
Services offered in an MTM
Eligible PacificSource Medicare members will receive the following important services at no additional cost:
- Comprehensive Medication Review (CMR)
Your MTM Pharmacist will meet with you either in person or telephonically to review all your medications including over-the-counter vitamins and supplements. This will help identify any duplications or conflicts and help to organize your medication schedule. - Prescriber Consult
Your MTM Pharmacist will talk with you and your doctor(s) to resolve any problems found with your medications. Your MTM Pharmacist can also help coordinate medications prescribed by multiple doctors. - Drug Information
Your MTM Pharmacist will talk to you about the best way to take your medications, why you take them, and answer any questions about your medicine you may have. Your MTM Pharmacist will also follow-up with you or your provider as needed to resolve drug related problems such as drug interactions, drug side effects and drug dosing.
Written Medication Summary
You will receive a written summary of the medication information you talked about with the pharmacist either at the end of your in-person review or in the mail.
Quarterly Targeted Medication Reviews (TMRs)
Every quarter, if your MTM pharmacist notices any new drug therapy problems or improvements that can be made to the medicines you take, they may contact you or your provider to talk about it.
Getting started is easy and is at no cost to you
MTM program enrollment is automatic. Simply watch for the program welcome letter sent to you or accept the telephonic offer to schedule an in person or telephonic review.
If you have questions, please contact PacificSource Medicare Customer Service
- 541-385-5315 Bend
- 541-225-3771 Springfield
- 208-433-4612 Boise
- 888-863-3637 Toll-free
- 800-735-2900 TTY
We are open:
- October 1 - March 31: 8:00 a.m. to 8:00 p.m. local time zone, seven days a week.
- April 1 - September 30: 8:00 a.m. to 8:00 p.m. local time zone, Monday - Friday. During this time of the year, please leave a message on weekends, holidays, and after hours. We will return your call the next business day.
Frequently Asked Questions:
Where can I find an MTM Pharmacist?
- Call our Customer Service Department at the numbers listed above and they can help connect you with your personal MTM pharmacist.
- Watch for your program enrollment letter with your MTM Pharmacists contact information.
- Accept the offer to schedule a Comprehensive Medication Review when we call you.
- At your doctor's office or provider clinic. In some cases, your MTM Pharmacist will be working at the same location where your doctor is.
Are all pharmacists in the PacificSource Medicare network also MTM Pharmacists?
- No. Not all pharmacists in the PacificSource Medicare network are MTM Pharmacists. PacificSource contracts with pharmacists who are uniquely positioned to work with you and your doctor to improve your medication regimens.
What if I do not want to be enrolled in the MTM program?
- You can always disenroll if you no longer want to receive MTM services. Please call our Customer Service department and tell us you no longer want to be enrolled in the MTM program.
Can I use my regular pharmacy and still visit an MTM Pharmacist too?
- Yes. The MTM is a free service offered by participating pharmacists to qualifying members. This service is in addition to your plan benefits. You may continue to use any PacificSource Medicare participating pharmacy for your prescriptions.
Will I pay additional costs for using an MTM Pharmacist?
- No. PacificSource Medicare offers these services at no additional cost to you.
Can an MTM Pharmacist save me money?
- Yes. Similar medications can have large cost differences. Your MTM Pharmacist can help you take the least costly, most effective medications.
Will my doctor know if I need to make any changes to my prescriptions?
- Yes. Your MTM Pharmacist may make recommendations to you and your doctor(s) but only your doctor can change your prescription.
Will I be required to use an MTM Pharmacist?
- No. Your MTM Pharmacist is an added service of membership. They are there to help, but you are not required to participate in the program.
Helpful Documents
Medication Action Plan: This is a blank version of the form that your pharmacist, or other healthcare provider, may use to document recommended changes to your current medication regimen.
Personal Medication List: This is a blank version of the form that your pharmacist, or other healthcare provider, may use to document all of the medications you are currently taking.
In general, beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances. Quantity limitations and restrictions may apply. The Formulary and pharmacy network may change at any time. You will receive notice when necessary.