To be eligible, you:

• Must have three or more of these ongoing or chronic health issues:
  
  • Asthma
  
  • Chronic heart failure (CHF)
  
  • Chronic obstructive pulmonary disease (COPD)
  
  • Depression
  
  • End-stage renal disease (ESRD)
  
  • High cholesterol

• Must take eight or more medications, and

• Must have spent $1,332.50 on medications in the past three months

Members in the Drug Management Program will be automatically enrolled.

You don’t have to do anything. You’ll be automatically enrolled if you’re eligible. We’ll send you a letter to notify you. Once you’re enrolled, you’ll get the yearly comprehensive medication review, which includes an updated medication list and safe drug disposal tips. You’ll also get quarterly targeted medication reviews (TMRs) that look for changes in the drugs you take that might need to be addressed with your prescriber. We’ll send your prescriber a fax with suggested changes if necessary. Your MTM pharmacist or other qualified provider will also follow up with you, if needed. You don’t have to participate in the MTM program if you don’t want to, and the MTM program doesn’t impact your plan Part D benefits, copays, coverage, or providers and pharmacies that may be in your plan’s network. You can decline certain parts of the MTM program and still stay enrolled, too.

Here are some of the resources to help you prepare for your comprehensive medication review:

Blank medication list

Drug disposal information

Questions? Call CSS Health at 1-877-450-37101-877-450-3710. They’re available Monday through Friday, 7:30 a.m. to 4 p.m. CT. Or give us a call at the number on the back of your Member ID card.