Medication Therapy Management

To be eligible in 2025, you must meet the criteria of at least one of the following two groups (1) and/or (2). 

1. 1. You take eight or more prescription medications for ongoing conditions covered by Medicare Part D 
      
   2. You have at least three of the following conditions:
      • Diabetes
      • Chronic congestive heart failure (CHF)
      • Dyslipidemia (high cholesterol)
        
      • Hypertension (high blood pressure)
      • Alzheimer’s Disease
      • Bone disease-arthritis (including osteoporosis, osteoarthritis, and rheumatoid arthritis)
      • End-stage renal disease (ESRD)
      • Human immunodeficiency virus/Acquired immunodeficiency syndrome (HIV/AIDS)
      • Mental health (including depression, schizophrenia, bipolar disorder, and other chronic/disabling mental health conditions)
      • Respiratory Disease (including asthma, chronic obstructive pulmonary disease (COPD), and other chronic lung disorders)
   3. You must be likely to spend $1,623 or more in 2025 on prescription medications covered by Medicare Part D.
2. You are a good candidate for the Drug Management program based on the Centers for Medicare & Medicaid Services (CMS) guidelines.