The Premera Blue Cross medication therapy management (MTM) program helps you get the greatest health benefit from your medications by:
Your participation is voluntary and does not affect your coverage. The program is no cost to you and is open only to those who are invited to participate. The program is not a benefit for all plan members.
You will be enrolled in the 2022 Premera Blue Cross MTM program if you meet one of the following:
Your participation in the MTM program is voluntary and does not affect your coverage. This is not a plan benefit and is open only to those who quality. There is no extra cost to for the MTM program.
If you qualify, we will mail you a letter. You may also receive a call to set up your one-on-one medication review.
We will automatically enroll you in the 2021 Premera Blue Cross program at no cost to you if all three conditions apply:
Your participation is voluntary, and does not affect your coverage. The program is no cost to you and is open only to those who are invited to participate. The program is not a benefit for all plan members.
It's estimated that 1.5 million preventable adverse drug events occur in the United States each year. Pharmacist-provided MTM services can help to prevent these events and are associated with improved medication use, lower drug costs, improved disease
management, reduced hospitalizations, and reduced hospital readmissions.
The MTM program provides you with a comprehensive medication review and a targeted medication review.
In the MTM program, you will receive the following services from a health care provider:
The comprehensive medication review is completed with a health care provider in person or over the phone. This review is a discussion that includes all of your medications:
This review takes about 20 minutes or less to complete. During the review, you may ask any questions about your medications or health conditions. The health care provider may offer ways to help you manage our health and get the most out of your medications.
If more information is needed, the health care provider may contact your prescriber.
At the end of the review, the health care provider will provide you with a summary of what you discussed. The summary will include the following:
You may receive a call from a pharmacy where you recently filled one or more of your prescriptions. You can choose to complete the review in person or over the phone.
A health care provider may also call you to complete your review over the phone. When they call, you can schedule your review at a time that is best for you.
Different prescribers may write prescriptions for you without knowing all the medications you take. For that reason, the MTM program health care provider will:
By completing the medication review with a health care provider, you will:
The targeted medication review is completed by a health care provider who reviews your medications at least once every three months. With this review, we mail, fax, or call your prescriber with suggestions about prescription drugs that may be safer or
work better for you. As always, your prescriber will decide whether to consider our suggestions. Your prescription drugs will not change unless you and your prescriber decide to change them. We may also contact you by mail or phone with suggestions
about your medications.
The MTM Pharmacist can help you organize your concerns and questions. This can help you make the most of your appointment time with your physician.
The Premera Blue Cross MTM program is dedicated to providing you with information about safe medication disposal. Medications that are safe for you may not be safe for someone else. Unneeded medications should be disposed of as soon as possible. You can
discard your unneeded medications through a local safe disposal program or at home for some medications.
Please contact us if you would like more information about the Premera Blue Cross MTM program or if you do not want to participate. Our number is 888-850-8526. TTY users should call 711. We are open
8 a.m. to 8 p.m., seven days a week from October 1 through March 31; 8 a.m. to 8 p.m., Monday through Friday from April 1 through September 30.