Medication Therapy Management
The Medication Therapy Management (MTM) program reviews and helps you learn more about the medicines you take and how they affect you. This program is a service offered at no additional cost to eligible members. This service is not considered a prescription benefit.
The goal is to help you get the best results from your medicines, at the lowest possible price. You’ll talk one-on-one with a pharmacist to review the different medicines and over-the-counter (OTC) products you are taking including:
- Why you are taking them
- Any side effects
- How they work with each other
- Ways you could save money on your medicines
The MTM program can also help you and your doctor make sure that your medicines are the best choice for you.
Who's eligible for MTM?
You're automatically enrolled in the MTM program if you meet the criteria listed below.
2024
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Have 3 or more of the following conditions:
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AND
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Take 8 or more prescription medications covered by Medicare Part D.
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AND
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Expect to spend more than $5,330 in 2024 on prescription medicines covered by Medicare Part D.
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AND/OR
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| Have an active coverage limitation for an opioid or frequently abused medicine as a result of a Drug Management Program. |
What you can expect
The MTM program is a two-part program. Reviews can be done over the phone, at a time that’s best for you. This may be right away when you call, or by making an appointment and, in some cases, you may have an in-person review.
1. Comprehensive Medication Review (CMR)
This review lets you talk one-on-one with an MTM pharmacist.
To get ready for your review, make a list of all the medicines you take. Write down even over-the-counter medicines or supplements. Include how much you take each day and how often you take them. The pharmacist will review your list and talk about it with you. This usually takes about 30 minutes.
After your review, you'll get a complete list of your medicines – a personal medication list and your recommended to-do list of steps you should take to get the best results from your medicines. You can bring it with you to your next doctor’s visit.
2. Targeted Medication Review (TMR)
Every few months, the program reviews your prescription claims to make sure there are no issues that need attention. If the review sees any possible problem, we will get in touch with you or your doctor.
Getting started
If you’re eligible for MTM, sign-up is automatic. You’ll get a letter or a phone call letting you know how to schedule an appointment or opt out of the program.
Opting out
Medicare requires us to enroll you if you’re eligible, but this service is not required. You may also choose to take part in only the services that interest you. Enrollment status can be changed any time during the calendar year. Your prescription drug coverage will not change based on your choice to take part or not take part in the MTM program.
For more information
2023 MTM informational brochure
If you'd like to learn more about the MTM program, please call 866-686-2223 (TTY 711), Monday-Friday 8 a.m.-5 p.m. Central Time or call the customer or member service phone number on the back of your member ID card. Ask to speak to someone about the MTM program.
The MTM Program is a service offered to eligible members at no extra cost; this service is not considered a prescription benefit.
Safe disposal of your medicines
We want to be sure you know you have options to safely dispose of the unused medicines you take. You can get rid of your expired, unwanted, or unused medicines through a drug take back site or, sometimes, at home. Unused medicines should be disposed of as soon as possible.
Do you know how to safely dispose of your medicines?
Local take back sites are the preferred way to dispose of unused medicines.
Search for more local take back sites here.
When a take back option is not close by, there are two ways to dispose of medicines at home, depending on the drug.
Flushing medicines: If you don't have a drug take back site near you, check the FDA's flush list to see if your medicine is on the list. Medicines on the flush list are those (1) wanted for their misuse and/or possible abuse and (2) that can result in death from one dose if not taken the right way.
Dispose of medicines in household trash: If your medicine is not on the flush list, you should follow these steps to get rid of the medicine in your trash at home:
- Mix medicines (liquid or pills; do not crush tablets or capsules) with a substance such as dirt, cat litter or used coffee grounds.
- Place the mixture in a container such as a sealed plastic bag.
- Throw away the container in your trash at home.
- Remove or scratch out all personal details on the label of empty medicine bottles or packaging, then throw away in your home trash or recycle the empty bottle or packaging.
For more information go to www.deatakeback.com.
If you have a question about how to dispose of your medicine, ask your doctor or pharmacist. Or we can help. Call the customer or member service phone number on the back of your member ID card.
To learn more about our MTM program
Call 866-686-2223 (TTY 711) or the customer or member service phone number on the back of your member ID card.
