Medication Therapy Management

The Medication Therapy Management Program (MTMP) is not a part of the Part D drug benefit but is a program provided at no cost. When you participate in the program we will help ensure that your medications are safe and effective and minimize the cost of your prescriptions. Members who are eligible for this voluntary program will be contacted by us directly. You may be eligible for this program if you meet one of the following:

• Take eight or more Part D-covered maintenance drugs, AND
• Have three or more of the following long-term health conditions, AND
• Asthma, COPD, CHF, Diabetes, Dyslipidemia, ESRD, Hypertension, or Osteoporosis
• Have $5,330 in annual drug costs paid by you and the plan in 2024, OR
• Are in a Drug Management Program to help manage medications such as opioids and benzodiazepines 

Once enrolled in the program, we will set up a 1-on-1 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.

1. Review of medications to assess medication use and identify medication-related problems. This may be conducted person-to-person or "behind the scenes" by a qualified provider and/or using computerized, clinical algorithms.
2. An interactive, person-to-person consultation performed by a qualified provider at least annually to all MTM-eligible members.
3. An individualized, written summary of the consultation for the member, including but not limited to, a medication list, reconciled medication list, and recommended to-do list for monitoring, education, or self-management. MTMP-eligible members will be included in quarterly targeted medication review (TMR) programs that evaluate medication profiles for duplicate therapy or drug-disease interaction in which members' prescribers may receive a member-specific report.

Want tools to help you manage your meds?

Use our Medication List or To Do List to keep track of your medications, organize your schedule, and make sure your medications are working for you. It’s a great way to keep track of what you're taking, why you’re taking them, and what you should be asking your doctors.

Are you looking for a safe way to dispose of unused or expired meds?

• Find a nearby pharmacy or other local resource with a medication take back service.

• The US Drug Enforcement Administration (DEA) allows unused prescription medications to be returned to pharmacies or other authorized sites. You can locate participating locations at: https://apps2.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e2s1
• Community take-back sites are the preferred method of disposing of unused controlled substances
• Additional drug disposal information can be found on the DEA website at: www.deatakeback.com

• If you cannot get to a drug take back location promptly, or there is none near you:

• Mix the unused supply with an undesirable substance such as dirt or coffee grounds.
• Put the mixture into a disposable container with a lid, such as an empty margarine tub, or into a sealable bag, then place the sealed container in your trash.
• Make sure to conceal or remove any personal information, including Rx number, on the empty containers by covering it with black permanent marker or duct tape, or by scratching it off to protect your privacy.
• Place both the sealed container with the mixture and the empty drug containers in the trash.
• Only flush approved unused or expired medications down the toilet only if indicated on the label, patient information, or no other disposal options are available.

More information on the safe disposal of medications can be found on the United States Department of Health and Human Services website: https://www.hhs.gov/opioids/prevention/safely-dispose-drugs/index.html

If you have any questions about the MTM program, please contact Member Services or the MTM Team.