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2022 Medication Therapy Management (MTM) Program

Members who are eligible can get free help with managing multiple medications

Description of services

PacificSource Medicare offers Medication Therapy Management services to eligible Medicare Part D members. Specially trained pharmacists will work with you and your doctor to help you get the best results from your medications while keeping your costs down. By using an MTM pharmacist, you can get the extra attention you need to keep your medications on the right track.

About eligibility

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:

  • You have at least three chronic diseases. Examples include:
    • Anticoagulation
    • Bone Disease-Arthritis-Osteoporosis
    • Chronic Heart Failure (CHF)
    • Diabetes
    • Dyslipidemia
    • Hypertension
    • Mental Health-Depression
    • Neurologic Disorders
    • Respiratory Disease-Asthma
    • Respiratory Disease-Chronic Lung Disorders
    • Respiratory Disease-Chronic Obstructive Pulmonary Disease (COPD)
  • You are currently taking at least four Part D chronic or maintenance drugs.
  • You expect to spend at least $4,696 per year on drugs.

Services offered in the MTM program

You will receive the following important services at no additional cost.

Comprehensive medication review to identify potential problems for members

Your MTM pharmacist will meet with you either in person or by phone to review all your drugs, as well as over-the-counter vitamins and supplements. This will help identify any duplications or conflicts, and help to organize your medication schedule.

Personal consult to find the best solutions for you

Your MTM pharmacist will talk with you and your doctor(s) to resolve any medication problems. Your MTM pharmacist can also help coordinate medications prescribed by multiple doctors.

Clear explanations about your drugs

Your MTM pharmacist will

  • Talk to you about: the best way to take your medications.
  • Explain why you need them.
  • Answer any questions you may have about your medicine.
  • Follow-up with you or your provider as needed to resolve drug related problems, such as drug interactions, side effects, and doses.

Written medication summary

You will receive a written summary of the drug information you talked about with the pharmacist at the end of your in-person review or in the mail.

Quarterly targeted medication reviews help to keep your medications on track

Every quarter, your MTM pharmacist will review your drugs to see if there are any problems or areas for improvement. They may contact you or your provider to talk about your medications.

Eligible members are automatically enrolled

MTM program enrollment is automatic. Simply watch your mail for the program welcome letter sent to you, or accept the phone offer to schedule an in person or over-the-phone review.

Questions?

If you have questions, please contact PacificSource Medicare Customer Service.

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 team at the numbers listed above. They can help connect you with your personal MTM pharmacist.
  • Watch your mail for your program enrollment letter with your MTM pharmacist’s contact information.
  • If you receive a call from us, accept the offer to schedule a complete medication review.
  • Contact your doctor's office or provider clinic. In some cases, your MTM pharmacist will work at the same location as your doctor.

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 specially trained pharmacists who will work with you and your doctor to improve your medication plan.

What if I do not want to be enrolled in the MTM program?

  • You can always opt out of the MTM program. Please contact our Customer Service team and tell us you no longer want to be in the MTM program.
  • For your safety, members misusing controlled medications or not taking them as prescribed may be automatically enrolled in Medication Therapy Management.

Where can I dispose of unused prescriptions?

  • The U.S. Drug Enforcement Administration (DEA) and its partners collect and safely dispose of medications as a service to communities. We suggest visiting the DEA website for locations in the community that might be convenient for you:
  • Check with these locations in your community to see if they have drug disposal boxes:
    • Police stations
    • Pharmacies
    • Fire stations
    • Municipal buildings
  • If you have questions about drug disposal, please contact the PacificSource Customer Service team at 888-863-3637 or email MedicareCS@PacificSource.com.

Can I dispose of prescriptions at home?

  • Yes. When a take back option is not readily available, two options of disposing medications at home are:
    • Flush the Medication down a sink or toilet if the drug is on the FDA Flush List. Available online at: FDA.gov/drugs/disposal-unused-medicines-what-you-should-know/drug-disposal-fdas-flush-list-certain-medicines.
    • Trash Disposal. If the drug is not on the FDA Flush List, follow these steps:
      • Remove the drugs from their original containers and mix them with something undesirable, such as used coffee grounds, dirt, or cat litter. This makes the medicine less appealing to children and pets, and unrecognizable to someone who might intentionally go through the trash looking for drugs.
      • Put the mixture in something you can close (a resealable zipper storage bag, empty can, or other container) to prevent the drug from leaking or spilling out.
      • Throw the container in the garbage.
      • Scratch out all your personal information on the empty medicine packaging to protect your identity and privacy. Throw the packaging away.

Can I use my regular pharmacy and still visit an MTM pharmacist, too?

  • Yes. The MTM is a free service. This service is in addition to your plan benefits. You may continue to use any PacificSource Medicare in-network 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, 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 plan.


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 currently take.