MTM Logo


JSRx Clinical Services (562)616-0057


Introducing Clinical Services at John's Shop Rite Pharmacy (JSRx)!

John's Shop Rite Pharmacy (JSRx) provides exceptional clinical services and is contracted with most major insurance companies, ensuring these services are available to you at no cost. As a trusted name in healthcare, we are proud to expand our commitment to our valued customers by providing comprehensive Medication Therapy Management (MTM) services. We have partnered up with the largest insurance companies to facilitate these services. By participating in CMRs and MTMs, patients can achieve better health outcomes, gain confidence in managing their medications, and enjoy a higher quality of life.

With JSRx's Clinical Services Team, take a holistic approach to your healthcare journey, ensuring that your medications are safe, effective, and optimized for your unique needs. Our team of highly trained pharmacists and healthcare professionals is dedicated to enhancing your overall well-being and helping you achieve optimal health outcomes.

Whether you're managing chronic conditions, seeking personalized medication guidance, or looking to improve your overall medication experience, our Clinical Services are here to support you every step of the way. With our seamless integration of MTM into John's Shop Rite Pharmacy, you can conveniently access our Clinical Services website to learn more about our services and schedule your consultation.

Experience the difference of personalized care and expert guidance with our Clinical Services Team at John's Shop Rite Pharmacy. We are honored to be your trusted partner on your path to better health.

What is the MTM (medication therapy management program)?

One-on-one review with a pharmacist or other trained health care provider.

Medication Therapy Management (MTM), while not part of a prescription drug benefit, is a Medicare-designed program offered by Johns Shop Rite Pharmacy. By participating in the program we want to help you get the best results from all of the medications you’re taking. When you talk to a trained provider they can help you make sure your medications are working for you, may help you find lower-cost options, and answer any questions or concerns you may have about your medications.

How does the Medication Therapy Management (MTM) program work?

If you're like many Medicare members, you're taking multiple medicines prescribed by more than one doctor. You could also be taking medicines that, when combined, may:

  • Reduce the effectiveness of your medicines
  • Cause severe side effects
  • Cost you more money per month
  • As part of your Medicare coverage, you can set up a one-on-one review of your medicines with a pharmacist or other trained healthcare provider. This review is called a comprehensive medication review (CMR) and is offered at no extra cost to you. Once enrolled in the program, you or your prescriber may be contacted about a targeted medication review (TMR) if an issue is identified with your medications that require you or your prescriber's attention. If the MTM provider finds an issue during a CMR or a TMR that requires your prescriber’s attention they may receive a telephone call or a fax from the MTM provider.

How do I qualify for the program?

Your Medicare Insurance plan determines eligibility quarterly by looking at your medication claims information. Once you qualify, you remain in the program for the rest of the calendar year. You will have to re-qualify for the next calendar year.

2022 Criteria

You meet all 3 of the following:

You have three of the five following conditions:

Mental Health - Bipolar, Hypertension, Dyslipidemia, Bone Disease – Arthritis -Osteoporosis, COPD, AND

You are taking eight or more chronic/maintenance (Part D) drugs, AND

You’re likely to have annual Part D medication costs of $4,696 or more in 2022

OR

You qualified for the Drug Management Program because:

You’re taking an opioid medication prescribed by more than one provider and/or using more than one pharmacy, OR

You’ve had a drug-related hospital visit in the last 12 months and have been prescribed an opioid in the last 6 months


2023 Criteria

You meet all 3 of the following:

You have 3 of the 5 following chronic diseases:

Osteoarthritis, Hypertension, Asthma, Chronic heart failure, Schizophrenia AND

You are taking 8 or more chronic/maintenance (Part D) drugs, AND

You’re likely to have annual Part D medication costs of $4,935 or more in 2023

OR

You qualified for the Drug Management Program because:

You’re taking an opioid medication prescribed by more than 1 healthcare provider and/or using more than 1 pharmacy, OR

You’ve had a drug-related hospital visit in the last 12 months and have been prescribed an opioid in the last 6 months

How will my Insurance let me know I have qualified for the MTM program?

Once eligible, you will be auto-enrolled and will receive a notification within 60 days inviting you to participate in the program.


2024 Criteria

  • You have 3 of the 5 following chronic diseases:
    • Osteoarthritis, CHF, Diabetes, Depression, COPD AND
  • You are taking 8 or more chronic/maintenance (Part D) drugs, AND
  • You’re likely to have annual Part D medication cost of $5,330 or more in 2024

OR

You qualified for the Drug Management Program because:

  • You’re taking an opioid medication prescribed by more than 1 healthcare provider and/or using more than 1 pharmacy, OR
  • You’ve had a drug-related hospital visit in the last 12 months and have been prescribed an opioid in the last 6 months

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Once enrolled, one of our Clinical Pharmacists will perform your consultation over the phone.

You may also call us at 1-562-616-0057 (TTY: 711). Representatives are available Monday through Friday, 9 a.m. to 6 p.m. PST.

What you can expect when you complete a CMR


Our highly trained Clinical Pharmacist  will review your current medication program to:

  • Go over the medicines you are currently taking
  • Make sure your medicines are safe for you
  • Answer any questions you may have about your medicines
  • Discuss possible lower-cost alternatives for your medicines
  • Discuss any concerns you have about your medicines
  • Work with you on ways to keep track of your medicines

We will send you a summary of your consultation that includes the Personal Medication List, which is a list of all of the medications you're taking, and a To-Do list, which includes things that you talked about with our Pharmacist.

Each consultation takes about 15 minutes to complete but can range from about 10-30 minutes.


Center For Medicare Services Official Publication (link)