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Who is eligible?

Every three months, Arkansas Blue Medicare works with Aspen Rx Health to see who may qualify for the program. To be eligible, you must meet all three of the following:

  1. Have three or more of the following long‑term health conditions:
    • Alzheimer's Disease
    • Bone disease-arthritis (including osteoporosis, osteoarthritis, and rheumatoid arthritis)
    • Chronic congestive heart failure (CHF)
    • Diabetes
    • Dyslipidemia
    • End-stage renal disease (ESRD)
    • Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS)
    • Hypertension
    • Mental health (including depression, schizophrenia, bipolar disorder, and chronic/disabling mental health conditions)
    • Respiratory disease (including asthma, chronic obstructive pulmonary disease (COPD), and chronic lung disorders)
  2. Take eight or more covered Part D medications
  3. Be likely to spend more than $1,276 on covered Part D medications in a year

Or, you may qualify if you are identified as an at-risk beneficiary through our Drug Management Program (DMP).

How will I know if I qualify?

We'll review all our member and Part D medication data to identify members who meet the above criteria. If you're eligible, we will send you a letter in the mail explaining the program and how to get started. You might also hear from us by:

  • Phone call
  • Email
  • Text message

 

 

What happens next?

A pharmacist (either one of ours or one from our partner, Aspen Rx Health) will call you to complete a comprehensive medication review (or CMR). This call usually takes only 10–20 minutes.

The CMR covers:

  • A review of all your medications, including:
    • Prescriptions
    • Over-the-counter medicines
    • Vitamins and herbal products
  • Clear explanations about:
    • What each medicine is for
    • How and when to take it
    • Possible side effects or interactions
    • Ways you might save money on your medications
  • Helpful suggestions to get the best results from your treatment

After the CMR:

  • You’ll receive:
    • An easy-to-read list of your current medications
    • A simple action plan with the pharmacist's recommendations
  • You can share this information with your doctor at your next visit

If something serious comes up, the pharmacist will reach out directly to your doctor to help take care of it.

If you do not want to wait for a pharmacist to call you for your CMR, you can call us. Call 888-843-5779 , Monday–Friday, 9 a.m. to 7 p.m. Central.

What else can I expect while in the MTM program?

Every few months, we take another look at your medication records to make sure everything still looks good. (This is called a targeted medication review or TMR for short.) If we notice something that might need attention:

  • We may contact you
  • Or we may reach out to your doctor

 

Can I stop participating in the MTM program?

Absolutely. Even though Medicare requires automatic enrollment if you qualify, you do not have to take part. To opt out, call 888‑843‑5779 , Monday–Friday, 9 a.m. to 7 p.m. Central.

Choosing not to participate will not change your Arkansas Blue Medicare coverage.

I checked my medicine cabinet, and I have some unused or expired medications. What should I do with them?

Unused or expired medications can cause harm if taken by accident, so it’s important to get rid of them safely.

The best way is through drug take‑back programs.

  • The U.S. Drug Enforcement Administration (DEA) has a National Prescription Drug Take Back Day across the county. You can find a nearby location at takebackday.dea.gov .

If a take‑back site is not available, some medications can be flushed. Only flush a medication if:

  • The label says to do so, or
  • It’s on the FDA’s flush list at fda.gov .

Otherwise, do not flush it.

Some medications can be thrown in the trash. You can safely throw most medications away by:

  1. Taking them out of their original containers
  2. Mixing them with coffee grounds, dirt, or cat litter
  3. Placing the mixture in a sealed bag or container
  4. Throwing it in the trash
  5. Crossing out personal information on empty bottles or boxes
  6. Fold used patches in half before throwing them away

You can find more tips for the safe disposal of medication at hhs.gov/opioids/prevention/safely-dispose-drugs .

 

Where can I go for help?

If you ever have questions about your medications or this program, your pharmacist or doctor is a good place to start.

We’re always happy to help, too. Call 888‑843‑5779 , Monday–Friday, 9 a.m. to 7 p.m. Central.

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