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Medication therapy management

Reduce risks and costs when you take multiple medications

If you take multiple medications, you’re at increased risk for errors that can result in serious complications such as heart attacks, falls, blood clots and kidney failure.

Our Medication Therapy Management program aims to prevent such errors. The program is a collaboration between you, your pharmacist and doctors to ensure you take medications safely while achieving the best possible outcome.

MTM is a free service for eligible members with Medicare Part D prescription drug coverage.

View Medicare plans with Medication Therapy Management.

Benefits of MTM include:

  • Improved adherence: We’ll help you safely take medications as prescribed.
  • Improved safety: MTM can help you avoid dangerous side effects and duplication of medications.
  • Lower costs: The program has reduced members’ direct pharmacy costs by an average of 16 percent and indirect medical costs by 21 percent.
Medicare Part D explained

Medicare prescription drug coverage options in a nutshell. (Video, 3:43)

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Who is eligible for the Medication Therapy Management program?

You’re eligible for MTM if you:

  • Use eight or more medications
  • Spend more than $3,967 on medications annually in 2018 ($3,919 in 2017)
  • Have at least three qualifying medical conditions from the list below:

Acid (Reflux/Ulcers), Alzheimer’s Disease, Anemia, Arthritis, Atrial Fibrillation, Benign Essential Tremor, Benign Prostatic Hyperplasia, Bipolar Disorder, Cardiovascular Disorders, Cerebrovascular Disease, Chronic Heart Failure, Crohn’s Disease, Dementia, Depression, Diabetes, Dyslipidemia, End-Stage Renal Disease, Hepatitis C, HIV/AIDS, Hypertension, Incontinence, Insomnia, Multiple Sclerosis, Neurological Disorders, Osteoporosis, Parkinson’s Disease, Plaque Psoriasis  

If you’re eligible, we’ll mail a letter explaining the program and its potential benefits. An MTM analyst will then call you to answer your questions and set up an appointment by phone with one of our MTM pharmacists.

You will not need to change doctors or pharmacies to enroll in the MTM program.

Log in to review your HAP Pharmacy Claim History.

How does Medication Therapy Management work?

Once you’re enrolled in MTM, a pharmacist will call you to conduct a Comprehensive Medication Review. During this review, the pharmacist will:

  • Discuss your medications and answer questions
  • Identify possible drug interactions
  • Highlight potential ways to reduce your drug costs
  • Determine if any medications need to be adjusted for safety or to improve your health

The pharmacist will work with your doctors to make any necessary medication changes.

After completing the review, you’ll receive a letter containing:

  • Your MTM pharmacist’s name and contact information
  • An action plan listing all discussed medication-related concerns
  • Follow-up steps

You’ll also receive a Personal Medication List that includes:

  • Your prescription and over-the-counter medications
  • How to take each drug
  • Why you are taking each drug
  • Who prescribed each drug

Download a Personal Medication List (PDF). You must have Adobe Reader to download the form. Download it for free.

The Centers for Medicare & Medicaid Services requires that you receive a Targeted Medication Review every three months if you’re enrolled in MTM. A pharmacist will contact you by phone to conduct these reviews, during which time they will answer questions and help make sure you’re taking your medications as prescribed.

Contact us with questions.

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Copyright © 2017 HAP
2017 Health Alliance Plan of Michigan
Y0076_ALL 2018067 2018 WEB 10.1
CMS Approved: 10/24/2017
Last Update 10/1/2017

HAP Senior Plus® HMO, HMO-POS, and PPO are health plans with a Medicare contract. Enrollment in these plans depends on contract renewal. HAP Senior Plus® PPO is a product of Alliance Health and Life Insurance Company, a wholly owned subsidiary of HAP. Alliance Medicare Supplement is a product of Alliance Health and Life Insurance Company, a wholly owned subsidiary of HAP.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

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  • HAP Medicare Sales:

    (800) 868-9885 (TTY: 711)

  • (800) 868-3153 (TTY: 711)

    HAP Senior Plus®

    (800) 801-1770 (TTY: 711)

  • HAP Senior Plus®(PPO)

    (888) 658-2536 (TTY: 711)

  • Alliance Medicare Supplement:

    (800) 873-7526 (TTY: 711)