Medication Therapy Management is a set of pharmacist-led services designed to make sure a patient's medications are working as safely and effectively as possible. Its centerpiece is the Comprehensive Medication Review (CMR): a one-on-one review of everything the patient takes, resulting in a personal medication list and an action plan.

Medicare Part D plans are required to offer MTM to members who meet eligibility criteria, generally multiple chronic conditions, multiple covered Part D drugs, and drug spending above an annual threshold. Completed CMRs are themselves a tracked measure, so plans and pharmacies work to reach eligible members and get the review done.

The hard part is contact: eligible patients have to be reached, scheduled, and followed up with. Rivvi runs that outreach as real conversations from a branded pharmacy number, inviting eligible members to their medication review, confirming appointments, and honoring opt-out on every attempt.