What is Medication Therapy Management?

A Medication Therapy Management (MTM) Program is a free (no out of pocket cost to members who qualify) service that Brand New Day offers to members who have a number of high-cost prescription drugs and medical conditions. You qualify for the MTM Program if you spend more than nine hundred ninety one dollars and seventy five cents ($991.75) on your medications in one three month period (quarter), have a minimum of two of the following chronic diseases [1) chronic heart failure 2) diabetes (high blood sugar) 3) dyslipidemia (high cholesterol) 4) hypertension (high blood pressure) 5) asthma 6) chronic obstructive pulmonary disease], and have been prescribed a minimum of six medications. You will be invited to participate in this program designed for your specific health and pharmacy needs. You may decide not to participate, but it is recommended that you take full advantage of this covered service if you qualify and are asked to participate.

Comprehensive Medication Review

You will be offered the opportunity to have a comprehensive medication review (CMR) with your doctor, a nurse, a pharmacist, or another qualified provider.

The provider will help you develop a Medication Action Plan (MAP) to:

  • Ensure you are being prescribed the best medications for your condition(s).
  • Help you understand the best way to take the medications for the desired results.
  • Discuss possible ways to reduce your costs for prescription drugs.

Prescription Drug List

Brand New Day will also send a list of your current medications (Prescription Drugs List, or PDL) to carry with you and share with your doctors during office visits, at Urgent Care, or at the hospital if you need to go there.

Medicare’s Website About Medication Therapy Management

Medicare has a page on its website about Medication Therapy Management (MTM). They hope you will visit their site at: http://www.medicare.gov/part-d/coverage/medication-therapy-management/medication-therapy-programs.html

For more information please contact Brand New Day at :

866-255-4795 or TTY 866-321-5955
8:00 a.m. to 8:00 p.m. Monday through Friday.

Ask to speak with a Pharmacy Technician about the Medicare-approved Medication Therapy Management Program at Brand New Day.