Medication Therapy Management (MTM) Program

Our MTM program is a FREE service that is offered by Elderplan FIDA Total Care for participants who meet our selected criteria described below. Please note that this program is not considered a benefit.

Under our MTM program, you will have access to the following free services:

  • A telephone consultation with a pharmacist to review your current prescriptions and over-the-counter medications – the pharmacist will call you to talk about any medication-related issues you may be experiencing and to create a specific medication action plan (MAP), that you can share with your doctor.
  • Ongoing comprehensive medication review – Elderplan FIDA Total Care, in consultation with your doctor, will review your medications on a regular basis to ensure that your MAP remains current.

Advantages of the MTM Program include:

  • Ability to identify and reduce the chance for medication errors
  • More information about your current medication therapy
  • Opportunity to save money by reducing duplicative therapy and offering affordable formulary alternative availability if applicable
  • Chance to identify and educate you on the side effects of the drugs you are taking and discuss ways to reduce those effects

For more information about the MTM program and to schedule your free medication review with a pharmacist, please call the number on your MTM welcome letter. An MTM welcome letter is sent to you if you qualify for the program. You can also call Elderplan FIDA Total Care Participant Services at 1-855-462-3167, 8 a.m. to 8 p.m., 7 days a week (TTY 711) for additional information. You can also contact our MTM vendor directly at 1-877-472-3915, Monday through Friday, 9 a.m. to 6 p.m. TTY/TDD users should call 711.

What is Elderplan FIDA Total Care Medication Therapy Management (MTM) program?

The MTM program is designed to help our Elderplan FIDA Total Care participants deal with multiple medications and illnesses. This program is another way to help you get the safest, most effective and affordable prescription drugs. Our staff works with individual participants and their health care providers to be a source of information and support for medication management.

How does it work?

Once you are selected for our MTM program, you will receive a welcome letter from our MTM vendor (Clinical Support Services, Inc) and information about MTM. Our MTM vendor will contact you to schedule a telephone consultation with a pharmacist. The pharmacist will conduct a Comprehensive Medication Review (CMR) to identify any potential medication related issues. If any medication issue is identified during the telephone consultation with a pharmacist, we will discuss it with your provider. A CMR review takes about 30 minutes and is usually offered once each year—if you qualify. Participation in this program is voluntary. You can contact Elderplan FIDA Total Care Participant Services at 1-855-462-3167, 8 a.m. to 8 p.m., 7 days a week (TTY 711) to opt-out of the program. You can also contact our MTM vendor directly at 1-877-472-3915, Monday through Friday, 9 a.m. to 6 p.m. TTY/TDD users should call 711.

How can the program help the participant?

Our licensed clinicians will assist you by being a source of knowledge about prescription and over-the-counter drugs. We can answer questions you may have about your medications and discuss potential drug therapies with your providers. Overall, our goal is to make sure you are getting and taking the types of medication that are right for you.

Who is eligible for the program?

Eligible participants are those participants with Medicare Part D prescription coverage who take at least 8 (eight) Part D drugs and are likely to incur or exceed annual costs of the CMS dictated threshold for all covered Part D drugs. For 2017, costs for covered Part D prescription drug threshold are greater than or equal to $3,919 per year.

Participants of the program also have at least 3 (three) of the below mentioned diseases of the following conditions:

  • Diabetes
  • Dyslipidemia (high cholesterol)
  • Hypertension (high blood pressure)
  • Osteoporosis
  • COPD (Chronic Obstructive Pulmonary Disease)
  • Mental Health – Depression
  • Chronic Heart Failure (CHF)
  • Respiratory Disease – Asthma

You can also contact our MTM vendor directly at 1-877-472-3915, Monday through Friday, 9 a.m. to 6 p.m. TTY/TDD users should call 855-405-8233.

You can download a copy of a blank Personal Medication List (PML): English | Español | 中文РусскийItaliano | Kreyòl Ayisyen | 한국어