Medication Therapy Management - Washington State Local Health Insurance - CHPW

Medication Therapy Management

What is the Medication Therapy Management (MTM) Program?

The Medication Therapy Management (MTM) Program is a service for members with two or more chronic health conditions and four or more medications. The program helps make sure you’re taking the correct medications and that they’re improving your health.

If you qualify, you will be automatically enrolled in the program. This service is provided at no additional cost to you. You may choose not to participate in the program, but we recommend that you make use of this free service.

The MTM program is offered through a partnership between CHPW and SinfoniaRx. The MTM program through SinfoniaRx helps you and your doctor make sure that your medications are working to improve your health. Learn more by visiting the Sinfonia Rx website, or by calling 1-844-866-3730.

Who is eligible for the MTM program?

To qualify for the MTM program, you must have two or more chronic health conditions. The health conditions that qualify for the MTM program are:

  • Asthma
  • Heart Failure
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Depression
  • Diabetes
  • High cholesterol
  • High blood pressure
  • Chronic pain
  • Cancer
  • HIV
  • Osteoporosis

How does the MTM Program help you?

If you qualify for the MTM Program, you will be contacted and have the chance to speak with a highly trained pharmacist. During that call, the pharmacist will complete a comprehensive medication review of your medicines and talk with you about how to get the most benefit from the medications you are taking.

What will you receive?

If you qualify for the MTM Program, you will receive:

  1. A welcome letter that tells you how to get started.
  2. A Comprehensive Medication Review.
  • You will have the chance to review your medicines with a pharmacist over the phone. This review will take about 20-30 minutes. The call can be scheduled at a time that is convenient for you. During this call, you can discuss any issues with your medicines.
  • After you complete the comprehensive medication review, you will receive a summary by mail. The summary includes a medication action plan with space for you to take notes or write down any follow-up questions.
  • You will also receive a Medication Review letter that lists all the medicines you take and the reasons why you take them.
  1. Ongoing targeted medication reviews.
  • At least once every three months, a pharmacist reviews your medications. They will notify you or your doctor about any changes in medication to consider. You may get a letter or a phone call for this review.

DID YOU KNOW...?

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