2017 Medication Therapy Management Program (MTM program)

The HMSA Akamai Advantage Medication Therapy Management (MTM) program helps you get the greatest health benefit from your medications by:

Who qualifies for the MTM program?

We’ll automatically enroll you in the HMSA Akamai Advantage Medication Therapy Management Program at no cost to you if all three 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
    • COPD
    • Diabetes
    • Depression
    • Osteoporosis
    • Chronic heart failure
    • Cardiovascular disorders, such as high blood pressure, high cholesterol, or coronary artery disease
  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 considered 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)

If you qualify for a CMR, you’ll get 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 is usually offered once each year. At the end of your discussion, the pharmacist will give you a Personal Medication List of the medications you discussed during your CMR.

You’ll 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.

Here is a blank copy of the Personal Medication List for tracking your prescriptions.

Targeted Medication Review (TMR)

We’ll send 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’ll 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’ll be called for a phone review.

If your regular pharmacy doesn’t participate in the program, a partner pharmacist may call you to provide your MTM review and ensure that you have access to the service if you want to participate.

Why is a review with a pharmacist important?

Different doctors may write prescriptions for you without knowing all the prescription drugs and over-the-counter (OTC) medications you take. For that reason, a pharmacist will:

How will I benefit from talking with a pharmacist?

How can I get more information about the Medication Therapy Management (MTM) program?

To find out more about MTM, call SinfoniaRx at 1-855-608-4808, Monday through Friday, 4AM – 5PM HST. For TTY, call 711.