2021 Medication Therapy Management Program

We will automatically enroll you in the Johns Hopkins Advantage MD MTM program at no cost to you if all three of the following conditions apply:

1. You take eight or more Medicare Part D covered maintenance drugs
2. You have three or more of these long-term health conditions:
   • Asthma
   • Cardiovascular Disorders (such as high blood pressure, high cholesterol, or coronary artery disease)
   • Chronic Heart Failure
   • Chronic Obstructive Pulmonary Disease (COPD)
   • Depression
   • Diabetes
   • Osteoporosis
3. You reach $4,376 in yearly prescription drug costs paid by you and the plan.

Your participation is voluntary and does not affect your coverage. The program is no cost to you and is open only to those who are invited to participate. The program is not a benefit for all members.

The program provides you with a:

• Comprehensive Medication Review
• Targeted Medication Review

A Comprehensive Medication Review (CMR) is a one-on-one discussion with a pharmacist to answer questions and address concerns you have about the medications you take, including:

• Prescription drugs
• Over-the-counter (OTC) medicines
• Herbal therapies
• Dietary supplements and vitamins

The pharmacist will offer ways to manage your conditions with the drugs you take. If more information is needed, the pharmacist may contact your prescribing doctor. The review takes about 30 minutes and is usually offered once each year – if you qualify. At the end of your discussion, the pharmacist will provide a Personal Medication List with the medications you discussed during your review.

You will also receive a Medication Action Plan. Your plan may include suggestions from the pharmacist for you and your doctor to discuss during your next doctor visit.

You can track your prescriptions using a Personal Medication List.

A Targeted Medication Review (TMR) is where we mail, fax, or call your doctor with suggestions about prescription drugs that may be safer or work better than your current drugs. As always, your prescribing doctor will decide whether to consider our suggestions. Your prescription drugs will not change unless you and your doctor decide to change them. We may also contact you by mail or phone with suggestions about your medications.

If you qualify, we will mail you a letter. You also may receive a call inviting you to participate in a one-on-one medication review.

You may receive a call from a pharmacy where you recently filled one or more of your prescriptions. You will be given the option to choose an in-person review or a phone review.

You may also be contacted by a call center pharmacist to provide your MTM review, and ensure that you have access to the service if you want to participate. These reviews are conducted by phone.

Different doctors may write prescriptions for you without knowing all the prescription drugs and/or OTC medications you take. For that reason, a pharmacist will:

• Discuss how your prescription drugs and OTC medications may affect each other
• Identify any prescription drugs and OTC medications that may cause side effects and offer suggestions to help
• Help you get the most benefit from all of your prescription drugs and OTC medications
• Review opportunities to help you reduce your prescription drug costs

• Discussing your medications can result in real peace of mind knowing that you are taking your prescription drugs and OTC medications safely
• The pharmacy can look for ways to help you save money on your out-of-pocket prescription drug costs
• You benefit by having a Personal Medication List and a Medication Action Plan to keep and share with your doctors and health care providers

Please contact us if you would like additional information about our MTM program or if you do not want to participate after being enrolled in the program. Call 1-844-635-3406 (TTY: 711) 24 hours a day, seven days a week.