You take eight or more Medicare Part D covered maintenance drugs.You have three or more of these long-term health conditions: Asthma. Chronic obstructive pulmonary disorder (COPD) Diabetes. Depression. … You reach $4,376 in yearly prescription drug costs paid by you and the plan.

Is MTM only for Medicare patients?

These services are free of charge to Medicare patients and eligibility is determined by their insurance plan. Non-Medicare patients who desire an MTM appointment can call the pharmacy to set up an appointment and expect to pay out-of-pocket.

Who pays for MTM services?

º The patient is responsible for paying you in full for the MTM service provided at the time of the service.