What does it indicate if a member's medications have a combined cost exceeding $3,919 per year?

If a member's medications have a combined cost exceeding $3,919 per year, it indicates that the member may qualify for the Medication Therapy Management (MTM) program. This program is designed to help members with higher medication costs manage their medications more effectively. It typically includes services such as medication reviews, personalized care plans, and consultations with pharmacists to optimize medication use, ensure safety, and reduce unnecessary expenses.

MTM programs are often targeted toward individuals who have complex medication regimens or high medication costs, making it a vital resource for those who may need extra support to navigate their treatment. This support can lead to better health outcomes and can also help in managing overall healthcare costs for both the member and the healthcare system.