CMR (Comprehensive Medication Review)
As of 10/14/2024, the MTM team has done over 1500 of these in 2024!
What are CMRs?
This silent film actor is best known for his bowler hat and black mustache.
Who is Charlie Chaplin?
This rule requires you try another medication before approving the desired therapy.
What is Step Therapy?
This city is dubbed the City of Brotherly Love
What is Philadelphia?
A way to describe someone with a positive disposition: They are a Happy _____!
what is CAMPeR?
This is the most common chronic condition among Medicare members.
What is Hypertension (high blood pressure)?
This green, one-eyed monster stole our hearts in 2001 Monsters Inc.
Who is Mike Wazowski?
This rule places a restriction on how many days of therapy can be dispensed at a time.
What is a quantity limit?
This city is said to have more bridges than Venice!
What is Pittsburgh?
The storage space in your car which usually does NOT have gloves
what is the glove CoMPARtment?
Novo Nordisk will be discontinuing this insulin as of December 31, 2024.
What is Levemir?
Cameron Diaz, Lucy Liu, and Drew Barrymore make up this trio in the 2000 movie version of the hit TV series.
What is Charlie's Angels?
If a prior authorization is denied, providers can write this type of letter to the insurance company with additional information in hopes of getting approval.
What is an appeal letter or appeal process?
This town is known for being the birthplace of President Biden and the setting for The Office.
What is Scranton?
To set side by side to show differences and likeness
what is to CoMPARe?
What is the Donut Hole (or coverage gap)?
These oblong, fruit flavored candies originated in Bethlehem, PA and are a classic treat while at movies.
What are Mike and Ike?
This step in the prior authorization process occurs when to clinicians discuss the need for a medication that requires authorization - typically between two physicians.
What is a peer to peer review?
Taylor Swift hails from this Pennsylvania town.
What is Reading?
A delectable dish traditionally of shrimp with a garlic and white wine sauce.
This cost is being reduced for Medicare members starting in 2025.
What is Out of Pocket Cost (being capped at $2000/year)
In the Shakespearean tragedy, Romeo and Juliet were dubbed this type of lovers.
what is star-crossed?
Meeting certain criteria like established cardiovascular disease (MI, stroke, PVD) before being approved helped get his drug covered by Medicare part D.
What is Wegovy?
This is the 3rd largest city in Pennsylvania and has a hit by the same name written by Billy Joel.
What is Allentown?
This topical product can help with congestion and pain. It is derived from the tree of the same name.