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Medication Management Therapy Program

If you are a member who takes many prescription drugs or who has high drug costs or chronic diseases, you could be eligible for the Samaritan Advantage Health Plan HMO Medication Therapy Management Program (MTMP). Our program is focused on improving therapeutic outcomes for Medicare Part D members by helping members with multiple conditions manage their medications.

This is a FREE service for eligible members.

Eligibility Criteria

  • Members must have filled eight or more chronic Part D medications; and
  • Members must have at least three of the following ten chronic conditions:
    • Alzheimer’s Disease.
    • Respiratory Disease (including Asthma, Chronic Obstructive Pulmonary Disease (COPD), and other chronic lung disorders).
    • Congestive Heart Failure (CHF)
    • Mental Health (including Depression, Schizophrenia, Bipolar Disorder, and other chronic/disabling mental health conditions)
    • Diabetes.
    • High Blood Pressure.
    • High Cholesterol.
    • Bone Disease-Arthritis (including Osteoporosis, Osteoarthritis, and Rheumatoid Arthritis).
    • End-Stage Renal Disease (ESRD).
    • HIV/AIDS.
    • Members must be likely to incur 2025 annual costs of $1,623 for all covered chronic Part D medications.
  • OR
    • Are in a Drug Management Program to help better manage and safely use medications such as opioids and benzodiazepines.

Do you meet all the criteria above? MTMP will help you learn about how to manage the various medications you need to stay healthy.

Helping You Manage Multiple Conditions

The success of our MTMP is built upon our proven experience using a wide range of services designed to help members with multiple conditions by:

  • Ensuring medications are taken correctly.
  • Improving medication adherence.
  • Detecting potentially harmful medication uses or combinations of medications.
  • Educating members and health care providers.

Our programs are evidence-based and can integrate both pharmacy and medical data, when available, and are built upon multiple measures that demonstrate positive clinical outcomes for members like you. Pharmacists, physicians and PhDs develop, manage and evaluate the programs for effectiveness.

One-on-one consultations between our clinicians and members are also an important part of our MTMP. Such consultations ensure that members are taking their medications as prescribed by their health care provider.

You will receive health information to help you take care of yourself and manage your health conditions.

If you think you may qualify, please call us at 866-207-3182 or 541-768-7866 (TTY users dial 800-735-2900), Monday – Friday, 8 am to 8 pm PST. We will answer your questions about the Medication Therapy Management Program and guide you through the next steps. We will also set up a time for you to talk with a pharmacist about your medications.

Yes. When you call let us know you need a translator. A translator can be provided when you speak with the pharmacist about your medications. This service is free.

Call 866-207-3182 or (TTY users dial 800-735-2900 or 711) to request a translator. We accept relay calls.

Yes. If you give permission or fill out an Authorized Representative Form, a family member, friend, or caregiver can talk to the pharmacist for you.

Authorized Representative Form (English) (Spanish)

We will send you a list of your medications. The list will include details to help you when you talk with your doctors and/or authorized representative.

What Is a Comprehensive Medication Review?

The Centers for Medicare & Medicaid Services (CMS) requires all Part D sponsors to offer an interactive, person-to-person comprehensive medication review(CMR) to all MTM-eligible members as part of MTMP.

If you meet the criteria outlined above, you will receive an MTMP Enrollment Mailer or phone call offering our CMR services. A CMR is a review of a member’s medications (including prescription, over-the-counter (OTC), herbal therapies and dietary supplements), which is intended to aid in assessing medication therapy as well as optimizing outcomes.

MTMP-eligible members will be included in quarterly targeted medication review (TMR) programs that assess medication profiles for duplicate therapy or drug-disease interaction in which members’ prescribers may receive a member-specific report.  

Your Medication Review Includes Three Parts

  1. Review of your medications to assess medication use and identify medication-related problems.
    This may be conducted person-to-person or “behind the scenes” by a qualified provider and/or using computerized, clinical algorithms.
  2. An interactive, person-to-person consultation performed by a qualified provider at least annually to all MTMP-eligible members.
  3. An individualized, written summary of the consultation for the member, including but not limited to, a medication list, reconciled medication list, and recommended to-do list for monitoring, education, or self-management.

View or Download Resources

Questions? Contact Us

Contact us at the number listed on the back of your ID card for more information about our MTMP.  If you have any questions about the MTM program, please call us at 866-207-3182 or 541-768-7866 (TTY users dial 800-735-2900), Monday – Friday, 8 am to 8 pm PST.

These programs are provided free at no additional cost as part of your coverage and are not considered a benefit.

Medication Tips – Safe Disposal of Medications

Do You Have Unused or Expired Medications? For a variety of safety reasons, it’s important to safely dispose of unused or expired medications as soon as possible. Follow these key tips for safe disposal:

Find a nearby pharmacy or other local resource with a medication take back service:

  • Community take back sites are the preferred method of disposing of unused controlled substances. 
  • The US Drug Enforcement Administration (DEA) allows unused prescription medications to be returned to pharmacies or other authorized sites.  Get a list of participating pharmacies.
  • Additional drug disposal information may be found on the DEA website.
  • More information on the safe disposal of medications can be found on the United States Department of Health and Human Services website.

If you cannot get to a drug take back location promptly, or there is none near you:

  • Mix the unused supply with an undesirable substance such as dirt or coffee grounds.
  • Put the mixture into a disposable container with a lid, such as an empty margarine tub, or into a sealable bag, then place the sealed container in your trash. 
  • Place empty drug containers in the trash, making sure to conceal or remove any personal information, including Rx number by covering it with black permanent marker or duct tape, or by scratching it off to protect your privacy.
  • Only flush approved unused or expired medications down the toilet only if indicated on the label, patient information, or no other disposal options are available.
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