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    Horizon Medicare Advantage

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Introduction
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Drugs that Require Prior Auth, Step Therapy and Quantity Limits (Part D)
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Program (Part D)

Coverage Determination Process (Part D)
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 Quality Assurance Policies and MTM (Part D)
Part D - Out of Network
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Quality Assurance Policies and MTM


We conduct drug utilization reviews for all of our members to make sure that they are getting safe and appropriate care. These reviews are especially important for members who have more than one doctor who prescribes their medications. We conduct drug utilization reviews each time you fill a prescription and on a regular basis by reviewing our records. During these reviews, we look for medication problems such as:

  • Possible medication errors
  • Duplicate drugs that are unnecessary because you are taking another drug to treat the same medical condition
  • Drugs that are inappropriate because of your age or gender
  • Possible harmful interactions between drugs you are taking
  • Drug allergies
  • Drug dosage errors

Medication Therapy Management (MTM) Program

Through the Horizon Blue Cross Blue Shield of New Jersey ("Horizon BCBSNJ") Medication Therapy Management ("MTM") program, Horizon BCBSNJ identifies members who might be at risk for a medical or drug adverse event and works with physicians and members to reduce that possibility. The MTM program encourages members to use medications according to national clinical guidelines, and to take their medications appropriately and in accordance with their physicians' instructions.

How are members selected to participate in the Horizon BCBSNJ MTM program?
Members are identified for eligibility in the MTM program using their prescription drug claims history as outlined by the Centers for Medicare & Medicaid Services ("CMS"). Eligible members who meet the criteria below are enrolled in the MTM program; however, they may "opt out" of the program at any time. The member may opt out by calling the toll-free number 1-888-706-2820; TTY/TDD users should call 1-800-855-2881.

Members must meet ALL three of the following criteria to be eligible for the MTM program.

1. Members must have at least two chronic diseases from the following list:

a. Alzheimers/Dementia
b. Asthma
c. Behavioral health disorders
d. Chronic pain
e. Chronic Obstructive Pulmonary Disease (COPD)
f. Coronary Heart Disease
g. Diabetes
h. Dyslipidemia
i. End-stage renal disease
j. Heart Failure
k. Hepatitis C
l. Hypertension
m. Multiple Sclerosis
n. Osteoarthritis
o. Osteoporosis
p. Rheumatoid Arthritis

2. Members must be taking at least five covered Part D drugs per month.

3. Members must have incurred costs for covered Part D drugs in either of the following amounts: at least $3,000 annually or at least $750 per quarter.

What activities occur in the Horizon BCBSNJ MTM program?

1. Physician communications
Horizon BCBSNJ pharmacists conduct routine medication profile reviews and, upon identifying a medication issue, contact the physician to discuss the issue. Examples of medication issues may include the use of multiple drugs to treat the same condition, dosage of medications and drug-drug interactions.

2. Member communications
Horizon BCBSNJ pharmacists conduct routine medication profile reviews and, upon identifying a medication issue, contact the member either by telephone or by mail to address the medication issue. As noted in the paragraph above, the member's physician is also contacted.

An Annual Comprehensive Medication Review ("CMR") offer to each MTM member, by a pharmacist, will be conducted via mail and/or phone. A CMR is a review of a member's medications, including prescription, over-the-counter ("OTC") medications, herbal therapies and dietary supplements. It is intended to aid in assessing medication therapy and optimizing patient outcomes. A summary of the discussion is provided to the member and will be sent to the member's primary care physician for further review as needed.

3. Member newsletters
A quarterly newsletter will be sent to all Horizon Medicare Advantage members with Part D coverage and all Medicare Part D members. The purpose of the publication is to increase awareness about various health-related issues and provide information and resources for prevention and treatment of common ones. Articles include updates on the latest medication treatments, reminders on the importance of taking medications appropriately and lifestyle and diet tips to help individuals with certain medical conditions better manage their health.

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Last Updated: July 22, 2010