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Medication Therapy Management Program (MTMP)

For 2010, Windsor's MTM Program is available to all qualified Windsor Extra enrollees. In order to qualify, enrollees must meet the following criteria:

• Must have at least 3 of the following Chronic Diseases: Diabetes, Dyslipidemia, Hypertension, Chronic Heart Failure, Asthma, COPD, Depression, Schizophrenia, Bipolar Disorder, Reflux or Stomach Ulcers, Osteoarthritis, Rheumatoid Arthritis, Transplant or Sickle Cell Anemia, AND
• At least eight or more Part D prescriptions each month, AND
• At least $750 in Part D drug costs for the previous calendar quarter.

All three criteria must be met in order to qualify for the program.

Why is MTMP important?

MTMP helps identify potential errors and gaps in your care.

MTMP:

• Helps reduce the risk of medication errors, especially if you have chronic conditions, take several medications or see multiple doctors and other care providers.
• Provides current information on proven medical practices to help you and your doctor determine the most effective treatment.
• Helps you understand your condition and medications, so you can take an active role in managing your health.

What are the benefits of MTMP for me?

Windsor's pharmacists and clinicians may communicate with you and your doctor to help you understand your condition and the prescriptions you take, whether they are right for you and if you are taking them according to your doctor’s directions.

We will check all of your medications for potential safety concerns and work with you and your doctor to eliminate drug interactions and therapeutic duplications.

Your MTMP participation may help improve your overall health and reduce your risk for serious medication reactions, hospitalization and emergency room visits. Our program is not considered a pharmacy benefit.

What will MTMP cost me?

There is no extra cost for the program.

How will I know if I’m part of MTMP?

Windsor members are sent a welcome letter which explains the ability to opt-out of the program if desired. This process involves a MTMP Team consisting of pharmacy and case management. The program oversight is the responsibility of the Chief Medical Officer and Pharmacy Director of Windsor.

For additional information, please contact Customer Service at 1-866-775-2205, TTY: 1-866-460-7617,
8 a.m. – 5 p.m. Central Time, seven days a week.

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