Medicare Medication Therapy Management Programs

Tamera Jackson by Tamera Jackson | Licensed since 2007

This article was updated on: 09/15/2018

Many Medicare beneficiaries take more than one medication to treat several health conditions. It can get understandably confusing and difficult to keep track of all your prescription drugs.

If you have more than one chronic condition and take multiple prescription drugs, Medicare Part D covers Medication Therapy Management programs to help you take your medications more effectively. All stand-alone Medicare prescription drug plans and Medicare Advantage Prescription Drug plans are required to have this program, which targets Medicare enrollees who have chronic conditions and may be taking more than one prescription drug.

Medication Therapy Management program benefits

Medication Therapy Management programs cover:

  • Annual comprehensive medication review: A pharmacist or prescriber will go over your medications with you and talk about how to take them to effectively treat your conditions.
  • Action plan and medication list: Following the review, your pharmacist or health professional will help you set up goals and give you a written action plan so you can get the most out of your medications. You’ll also be sent a complete list of your current drugs. You should keep a copy of your medications with you in case of emergency.
  • Care coordination: If you’re having any issues managing your prescriptions, your pharmacist may work with your other doctors or prescribers to help resolve medication problems. If your caregiver helps you manage your medications, the pharmacist may also coordinate your drug therapy with him or her as well.
  • Quarterly drug review: The program also covers a quarterly evaluation of your drugs to make sure your drug treatment is working for your conditions and to update your action plan. This is another chance to share any concerns or issues with your doctor.

Eligibility for Medication Therapy Management programs

Each stand-alone Medicare Part D prescription drug plan and Medicare Advantage Prescription Drug plan decides the eligibility criteria for its Medication Therapy Management program. For example, your Medicare Part D prescription drug plan might require you to have a minimum number of chronic conditions or to be taking a minimum number of medications. Other plans have rules that require you to take medications from certain drug classes to be eligible.

Talk to your Medicare prescription drug plan to see if you qualify for its Medication Therapy Management program.

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