Quality Assurance Policy
We have programs that can help our members with special situations. For example, some members have several complex medical conditions or they may need to take many drugs at the same time, or they could have very high drug costs.
These programs are voluntary and free to members. A team of pharmacists and doctors developed the programs for us. The programs can help make sure that our members are using the drugs that work best to treat their medical conditions and help us identify possible medication errors.
If we have a program that fits your needs, we will automatically enroll you in the program and send you information. If you decide not to participate, please notify us and we will withdraw your participation in the program.
For additional information about our Medication Therapy Management Program (MTM) refer to the Evidence of Coverage, Chapter 5 “Using the plan’s coverage for your Part D Prescription drugs”, or can call our Customer Service Department at 1-888-767-7717 Monday thru Friday from 8:00 am to 8:00 pm. TTY /TDD users should call 1-877-672-4242.