The Affinity Health Plan Medication Therapy Management (MTM) program helps you get the greatest health benefit from your medications by:• Preventing or reducing drug-related risks• Increasing your awareness• Supporting good habits
Downloadable information about Affinity’s MTM program is here
Descargar información acerca del programa MTM de Affinity está disponible aquí
A blank medication list is also available by clicking here
Who qualifies for the MTM program?We will automatically enroll you in the Affinity Health Plan Medication Therapy Management Program at no cost to you if all three (3) 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:
3) You reach $3,919 in yearly prescription drug costs paid by you and the plan.
Your participation is voluntary, and does not affect your coverage. This program is free of charge and is open only to those who are invited to participate. The MTM program is not a benefit for all members.
What services are included in the Medication Therapy Management Program (MTM Program)?The MTM Program provides you with a Comprehensive Medication Review (CMR), and a Targeted Medication Review (TMR).
Comprehensive Medication Review (CMR)
A CMR is a one-on-one discussion with a pharmacist, to answer questions and address concerns you have about the medications you take, including:
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. A CMR review takes about 30 minutes and usually offered once each year—if you qualify. At the end of your discussion, the pharmacist will give you a Personal Medication List with the medications you discussed during your CMR.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.
Targeted Medication Review (TMR)With a TMR, we mail or fax suggestions to your doctor every three months 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.
How will I know if I qualify for the Medication Therapy Management Program (MTM Program)?If you qualify, we will mail you a letter letting you know that you qualify for the MTM program. Afterward, you may receive a call from a partner pharmacy, inviting you to schedule a one-on-one medication review at a convenient time.
Will the Medication Therapy Management Program (MTM Program) pharmacist be calling from my regular pharmacy?Yes, the MTM program pharmacist may be calling from your regular pharmacy if your regular pharmacy chooses to participate in the MTM Program as a service provider. You will be given the option to choose an in-person review or a phone review.If your regular pharmacy does not participate in the program, you may 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. Call center reviews are conducted by phone.
Why is a review with a pharmacist important?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:
How do I benefit from talking with a pharmacist?
How can I get more information about the MTM program?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. Our toll free number is 1-866-362-4002, 24 hours a day, 7 days a week. TTY users call 711