Medication Therapy Management Program

Help for Managing Multiple Medications and Conditions

If you're an MVP Medicare Advantage plan member with complex health needs or are taking many medications, the Medication Therapy Management Program (MTMP) can help. This program is not considered a benefit and is offered at no cost to MVP Medicare Part D members.  With MTMP, you can talk with an experienced pharmacist. They can help you learn more about your prescriptions and reduce the risk of medication errors. For more information, call us at 1-866-942-7754, Monday–Friday, 8:30 am–5 pm Eastern time. If you’re an MVP DualAccess member, please call 1-833-286-1398, Monday–Friday, 8:30 am–5 pm Eastern time.

  • How MTMP Pharmacists Can Help 

    MTMP connects you with an experienced pharmacist when it works for you. They can help you:  

    • Understand your condition and your prescriptions 
    • Be sure you’re taking your prescriptions correctly 
    • Check for drug interactions between your medications, including over-the-counter drugs and supplements 
    • Find possible cost savings 
    • Get educational material in the mail 
    • Communicate with your doctor about potential drug interactions or therapeutic duplications 
  • What You Get from MTMP 

    If you participate in MTMP, you’ll receive a:  

    • 10–15-minute phone consultation with a specially trained pharmacist who will provide a full medication review.
    • Written summary of your medication review, including an action plan to discuss with your doctor.
    • Chance to meet with an MVP pharmacist one-on-one, in-person.  
    • Personal Medication List of all your drugs and why you take them. You can also print and complete the Personal Medication List yourself. Keep this list with you for doctor visits or emergencies.
    • Medication review at least every three months. You or your doctor may receive a follow-up letter or a phone call about any new recommendations from the pharmacist. 
  • MTMP Eligibility 

    You qualify for MTMP if you:  

    • Have multiple chronic diseases. For example: osteoporosis, chronic heart failure, dyslipidemia (unhealthy levels of fat in your blood), hypertension (high blood pressure), diabetes, depression, asthma, or chronic obstructive pulmonary disease (COPD). 
    • Take several Part D medications. Our Pharmacy Benefit Manager (PBM) and the MVP Health Care Pharmacy and Therapeutics Committee will determine this. 
    • Are likely to have annual costs for covered Part D drugs that are at least $4,935. 
    • Are an at-risk beneficiary (a beneficiary with an active coverage limitation under a Drug Management Program). 

    If you qualify for MTMP, you’ll receive a phone call and a letter inviting you to participate. The program is voluntary, but if you qualify, we encourage you to participate.  

    If you do not meet the criteria above but are interested in participating, email us or call 1-866-942-7754 , Monday–Friday, 8:30 am—5 pm Eastern time. If you’re an MVP DualAccess member, please call 1-833-286-1398, Monday–Friday, 8:30 am–5 pm Eastern time. 

     

MVP Health Plan, Inc. is an HMO-POS/PPO/HMO D-SNP organization with a Medicare contract and a contract with the New York State Medicaid program. Enrollment in MVP Health Plan depends on contract renewal. MVP Health Plan, Inc. has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 12/31/2024 based on review of MVP Health Plan’s Model of Care. Health benefit plans are issued by MVP Health Plan, Inc., an operating subsidiary of MVP Health Care, Inc. Not all plans available in all states and counties. Every year, Medicare evaluates plans based on a 5-star rating system. Out-of-network/non-contracted providers are under no obligation to treat MVP Health Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. For accommodations of persons with special needs at meetings, call 1-800-324-3899 (TTY 711).

Other physicians/providers are available in the MVP Health Care network. MVP virtual care services through Gia are available at no cost-share for most members. In-person visits and referrals are subject to cost-share per plan. Members enrolled in a Medicare Rx plan without additional MVP medical coverage do not have access to MVP virtual care services through Gia. SilverSneakers is a registered trademark of Tivity Health, Inc. SilverSneakers On-Demand is a trademark of Tivity Health, Inc. ©2023 Tivity Health, Inc. All rights reserved. GetSetUp is a third-party provider and is not owned or operated by Tivity Health, Inc. (“Tivity”) or its affiliates. Users must have internet service to access online services. Internet service charges are responsibility of user.

TruHearing® and (RE)TM are trademarks of TruHearing, Inc. All other trademarks, product names, and company names are the property of their respective owners. Retail pricing based on prices for comparable aids. Follow-up provider visits included for one year following hearing aid purchase. Free battery offer is not applicable to the purchase of rechargeable hearing aid models. Three-year warranty includes repairs and one-time loss and damage replacement. Hearing aid repairs and replacements are subject to provider and manufacturer fees. For questions regarding fees, contact a TruHearing hearing consultant.

Y0051_8263_M | Last Updated: 4/13/2023

Speak to a Representative

To shop for a plan, contact an MVP Medicare Advisor at 1-800-324-3899 (TTY 711)

For questions about your plan, contact the MVP Medicare Customer Care Center at 1-800-665-7924 (TTY 711). If you have an MVP DualAccess plan, call 1-866-954-1872 (TTY 711).

From April 1-September 30, reach us Monday-Friday, 8 am-8 pm.

From October 1-March 31, reach us seven days a week, 8 am-8 pm.