Alignment Health Plan has a free voluntary program for members who have
multiple medical conditions, take many prescription drugs, and have high drug costs.
We utilize this program to help members manage medications and make sure our members
are receiving medications according to their medical conditions, identify any possible
medication interactions, duplication of therapy, and review drug dosages according
to the appropriate prescribing standards.
Please note that the Medication Therapy Management Program (MTMP) is not considered
a benefit. It is available to you at no cost if you qualify. You will be automatically
enrolled in this program if you meet all of the following three criteria:
- Have three or more chronic medical conditions, such as
Take eight or more Medicare Part D covered drugs
Expect to spend more than $4,044 in 2019 on covered Medicare Part D prescriptions.
- Chronic Obstructive Pulmonary Disease (COPD)
- Chronic Heart Failure (CHF)
- Rheumatoid Arthritis
- Alzheimer's Disease
- Bipolar Disorder
The MTMP offers a comprehensive review of all your medications and discusses with
you over the phone on how to better manage your conditions with drug therapy. If
you are eligible for this program, you will be notified by mail. We will then contact
you by telephone to perform this service. Each session takes about 30-40 minutes.
After the telephone session, we will send you a Personal Medication List (PML) and
Medication Action Plan (MAP), which are summaries of what we’ve talked about. We
will also perform Targeted Medication Review quarterly and may contact you or your
doctor directly if there are questions about your medications.
Click on the link below for a sample of the Personal Medication List
Medication Therapy Management Program : Personal Medical List Form
If you would like additional information about the program, please call our Member Services Department at 1-866-634-2247 (TTY 711), 8:00 a.m. to 8:00 p.m., 7 days a week (except Thanksgiving and Christmas) from October 1 through March 31, and Monday to Friday (except holidays) from April 1 through September 30. Calls to this number are free. Member Services also has free language interpreter services available for non-English speakers. TTY requires special telephone equipment and is only for people who have difficulties with hearing or speaking.