To be eligible for Horizon Blue Cross Blue Shield of New Jersey’s MTM plan, you must:

1. Have at least three chronic conditions from the list:
   • Alzheimer’s/Dementia
   • Diabetes
   • Dyslipidemia
   • Chronic Obstructive Pulmonary Disease (COPD)
   • Hypertension
   • Asthma
2. Take eight or more Part D covered drugs to treat your chronic conditions.
3. Have an expected cost of at least $4,935 a year or $1,233.75 per quarter for your Part D covered drugs in 2023.

How does the MTM program benefit me?

1. Empowering you to take an active role in your health care experiences
2. Providing you with education material to help you achieve and maintain your best level of health:
   • Fact sheets on your chronic conditions.
   • Tips and tricks.
   • Information about nutrition and physical activity.
   • Recommended goals.
3. Providing you with the opportunity to speak with a live pharmacist.
4. Performing targeted reviews every quarter to ensure there are no safety concerns, missed opportunities or issues such as:

   If there are any safety concerns, missed opportunities or issues, we will notify you, your doctor and/or your health care team by mail or telephone.

   • Taking similar medications.
   • Gaps in therapy.
   • Taking medicines with in U.S. Food and Drug Administration (FDA) guidelines.
   • Interactions between your medications.
5. Providing you, your doctor and your health care team with current information on your medications and chronic conditions.

Our team of trusted pharmacists may reach out to you or your doctor to alert you to any gaps in therapy or safety concerns. He or she will work with you to schedule an appointment to speak with one of our trusted pharmacists on the telephone to participate in a Comprehensive Medication Review.

What is a Comprehensive Medication Review?

1. A CMR can help you better understand your medications by explaining how they work best and what to watch out for.
2. During a CMR you will receive personal attention from one of our trusted pharmacists without being rushed.
3. Along with reviewing your medications, the pharmacist will answer your medication questions.
4. The pharmacist can also help you with general answers to questions you have about your health.
5. A written summary of the discussion, including a personal medication list with counseling points, will be sent to you for your personal records within 14 days of the review.
6. A copy of the written summary will also be sent to up to three of your doctors so that you and your doctors can address your health issues together.

How much will the MTM program cost me?

How will the MTM program affect my plan coverage?

How do I enroll in the MTM program?

I have more questions…

You can write to us:

Safe Disposal of your medicines
You have options to safely dispose of the unused medicines you take. You can get rid of your expired, unwanted, or unused medicines through a drug take back site or sometimes at home. Unused medicines should be disposed of as soon as possible.

Do you know how to safely dispose of your medicines?
Local take back sites are the preferred way to dispose of unused medicines.

You can find local take back sites at:
https://apps2.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e1s1

When a take back option is not close by, there are two ways to dispose of medicines at home, depending on the drug.

Flushing medicines: If you don’t have a drug take back site near you, check the FDA’s flush list at https://www.fda.gov/consumers/consumer-updates/where-and-how-dispose-unused-medicines to see if your medicine is on the list. Medicines on the flush list are those (1) wanted for their misuse and/or possible abuse and (2) that can result in death from one dose if not taken the right way.

Dispose of medicines in household trash: If your medicine is not on the flush list, you should follow these steps to get rid of the medicine in your trash at home:

1. Mix medicines (liquid or pills; do not crush tablets or capsules) with a substance such as dirt, cat litter or used coffee grounds.
2. Place the mixture in a container such as a sealed plastic bag.
3. Throw away the container in your trash at home.
4. Remove or scratch out all personal details on the label of empty medicine bottles or packaging, then throw away in your home trash or recycle the empty bottle or packaging.

For more information go to https://deatakeback.dea.gov

If you have a question about how to dispose of your medicine, ask your doctor or pharmacist. Or we can help. Call the customer or member service phone number on the back of your member ID card.

Downloads

Personal Medication List