What is a required characteristic of MTM programs for Medicare Part D Plans and MAPDs?

• A. They must target beneficiaries with specific criteria
• B. They must focus on dispensing accuracy
• C. They must replace physicians
• D. They are optional for most plans

Answer: (A)

MTM programs for Medicare Part D plans are built around focusing resources on beneficiaries who meet specific, predefined criteria. CMS requires sponsors to identify a targeted population—usually those with multiple chronic conditions, those taking multiple Part D drugs, and those with higher annual drug costs. This targeted approach ensures the program reaches individuals most likely to benefit from medication therapy management, such as resolving medication problems, optimizing regimens, and supporting adherence. The other options don’t fit because MTM isn’t about dispensing accuracy, it doesn’t replace physicians, and programs are not optional for plans that meet the eligibility criteria.