Virginia Premier Gold
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Medication Therapy Management (MTM)

Virginia Premier Gold offers medication therapy management programs at no additional cost for members who have multiple medical conditions, who are taking many prescription drugs, or who have high drug costs. A team of pharmacists and doctors developed these medication therapy programs for Virginia Premier Gold to help provide better prescription drug coverage for plan members. For example, these programs help us make sure that our members are using appropriate drugs to treat their medical conditions and help Virginia Premier Gold identify possible medication errors.

Virginia Premier Gold offers medication therapy management program(s) for members who meet specific criteria. As a Virginia Premier Gold member you may be contacted to join a program if you meet eligibility criteria. Virginia Premier Gold hopes that you will participate in the program offered to help you manage your medications. Remember, you do not need to pay anything extra to participate. If you are selected as an eligible participant for the medication therapy management program, Virginia Premier Gold will send you information about the specific program, including information on how to disenroll should you choose not to participate.

These programs may have limited eligibility criteria and are not considered a benefit. They are available for the following conditions:

  • Have a minimum of 4 disease states: Anemia, Asthma, Behavioral Health, Chronic Pain, COPD, Diabetes, Dyslipidemia, GI/Reflux/Ulcer Conditions, Heart Failure, Hepatitis C, Hypertension.
  • Be on a minimum of 5 different medications to treat those disease states.
  • Drug costs of $4,000 per year are likely to be incurred

For more information, contact Member Services at 1-888-877-5925 (TTY 1-800-828-1120/TDD 1-800-828-1140) 8:00 a.m. to 8:00 p.m., seven days a week.

 
 
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