Medication Therapy Management Program

The Medication Therapy Management Program (MTMP) helps MVP Medicare Advantage plan members who have complex health needs or use multiple medications to treat chronic conditions better understand their prescriptions. This program is not considered a benefit and is offered at no cost to MVP Medicare Part D members.

For more information about MTMP, call MVP at 1-866-942-7754, Monday - Friday, 8:30 am to 5 pm Eastern Time. Or contact us. If you would like a copy of any of the materials used in the MTM program, contact us.

 

• Who is Eligible for MTMP?

  MTMP is for qualified members who meet the following criteria:
  
  • Have multiple chronic diseases such as osteoporosis, chronic heart failure, dyslipidemia, hypertension, diabetes, depression, asthma and chronic obstructive pulmonary disease
  
  • Take multiple Part D medications as determined by our Pharmacy Benefit Manager (PBM) in conjunction with the MVP Health Care Pharmacy and Therapeutics Committee
  
  • Are likely to incur annual costs for covered Part D drugs that exceed $3,967
  
  Members who qualify for MTMP will receive a phone call inviting them to take part and a letter about the program in the mail. The program is voluntary, but members who qualify are encouraged to participate.
  
  If you do not meet the criteria above but are interested participating in the program, email RxAdvisor@mvphealthcare.com or call 1-866-942-7754, Monday - Friday, 8:30 am to 5 pm Eastern Time.
  
  

• Why is MTMP important?

  MTMP helps find potential drug problems and gaps in your care. The program:
  
  • Helps reduce the risk of medication errors, especially if you have chronic conditions, take several medications or see multiple doctors and other health care providers;
  
  • Provides current information on proven medical practices to help you and your doctor determine the most effective treatment;
  
  • Helps you understand your condition and medications, so you can take an active role in managing your health.
  
  
  

• What are the benefits of MTMP for me?

  MTMP is your chance to speak with an experienced pharmacist on your time, when you have the privacy to ask questions. Taking part in MTMP participation may help improve your overall health and reduce your risk for serious medication reactions, hospitalization and emergency room visits.
  
  The MTMP pharmacists can help you:
  
  • Understand your condition and the prescriptions you take
  
  • Ensure you are taking your prescriptions according to your doctor's directions
  
  • Check for drug interactions between your medications, including over-the counter drugs and supplements
  
  • Identify possible cost savings
  
  • Receive additional educational material in the mail
  
  We will also contact your doctor about any potential drug interactions or therapy duplications that are found.
  
  
  

• What will I receive as part of MTMP?

  Members who take part will receive:
  
  • A full medication review with a specially trained pharmacist by phone, which may take 10-15 minutes to complete
  
  • A chance to meet one on one, in-person with an MVP pharmacist
  
  • A written summary of your medication review that includes an action plan for you to discuss with your doctor
  
  • A Personal Medication List of all your drugs and why you take them. You can also print and complete the Personal Medication List yourself. Keep this list with you for doctor visits or emergencies.
  
  • A medication review at least every 3 months. You or your doctor may receive a follow-up letter or a phone call about any new recommendations from the pharmacist.
  
  
  
  
  

 

Last updated: October 2017

Important Information

 

MVP Health Plan, Inc. is an HMO-POS/PPO/MSA organization with a Medicare contract. Enrollment in MVP Health Plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

Out-of-network/non-contracted providers are under no obligation to treat MVP Health Plan members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Medicare beneficiaries may also enroll in Preferred Gold HMO-POS, GoldValue HMO-POS, GoldSecure HMO-POS, Gold PPO, BasiCare PPO, and/or WellSelect PPO through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.