Frequently Asked Questions:

Where can I find an MTM pharmacist?
Click here to see if your pharmacist is a registered MTM pharmacist. You may also call PrimeTime Customer Service to ask about MTM pharmacists in your area.

How do I know if I qualify for Medication Therapy Management?
All eligible members will receive a letter and/or phone call from PrimeTime Health Plan or your pharmacist informing them that they have been enrolled in the MTM program and are eligible for a CMR. Your letter will let you know who to contact for your comprehensive medication review.

What if I am not enrolled in the MTM program and would like a Comprehensive Medication Review?
Please contact PrimeTime Health Plan’s Clinical Pharmacist at 330-363-4471 or contact Customer Service and ask to speak to the Clinical Pharmacy team.

If I am not enrolled in the PrimeTime Health Plan’s MTM program can I still receive the benefits of the MTM program?
Yes. All PrimeTime Health Plan Members receive some MTM services even if you do not meet the criteria to be enrolled in the MTM program. Some examples of the services provided by PrimeTime Health Plan's MTM are screenings for drug-drug interactions, high risk medication use, drug-disease state interactions, appropriate medication dosing, and much more.

Are all pharmacists in the PrimeTime Health Plan network also MTM pharmacists?
Not all pharmacists in the PrimeTime Health Plan network are MTM pharmacists. MTM pharmacists have finished a special training course to provide these extra services. This course is open to any pharmacist. Ask your regular pharmacist if they participate. All of PrimeTime Health Plan’s clinical pharmacists are trained to provide MTM services for you. If your pharmacist is not a registered MTM pharmacist and you would prefer to have them provide you the MTM services, direct them to this page for information on how they can become a registered MTM pharmacist.

Can I use my regular pharmacy and still visit an MTM pharmacist too?
Yes. Your MTM pharmacist does not need to be your regular pharmacist. You may continue to use any PrimeTime Health Plan participating pharmacy for your prescriptions.

Will I pay additional costs for receiving the MTM service?
No. These services are offered to you at no additional cost.

Can the MTM program save me money?
Yes. Similar medications can have large cost differences; your MTM pharmacist can help determine the least expensive, most effective medications for you.

Will my doctor know if any changes need to be made to my prescriptions?
Yes. Your MTM pharmacist may make recommendations to you and your doctor, but only your doctor can change your prescription.

Will I be required to use the MTM program?
No. The MTM program is a free benefit of your membership. We encourage that you take advantage of the program, but you are not required to take part.

What if I do not wish to participate in the MTM Program?
If you wish to opt out of the MTM program benefits you can call PrimeTime Health Plan’s Customer Service and let one of the representatives know that you do not wish to be enrolled in the program.

How do I get started?
Talk to your pharmacist to see if they can provide you with MTM services, or click here to find pharmacists in your area who can. You may also schedule a CMR here or call 330-363-4471.