The Medication Therapy Management Program (MTM) is designed to help eligible members with multiple conditions manage their drug therapy and optimize medication use in order to improve therapeutic outcomes. This program enhances communication among physicians, healthcare professionals, and members to optimize safe use of medications.
The MTM Program ensures patients take the right medications, at the right time, and in the right way. Eligible members are automatically enrolled in the program, but the member may choose not to participate. This program is offered at no cost to the member.
MTM Program Participation Criteria
Members will automatically enter the program if they meet the following three (3) criteria:
1. 2022 Plans: Have incurred in expenses of Part D drug coverage, up to $1,174 in the last three months or $4,696 during the last 12 months.
2. Have three (3) or more of the following chronic conditions:
• Chronic Heart Failure (CHF)
• Chronic Obstructive Pulmonary Disease (COPD)
• Chronic Alcohol and Other Drug Dependence
3. Been using at least eight (8) chronic/maintenance drugs covered under Medicare Part D.
Services and Materials
Members enrolled in the MTM program receive:
• Welcome letter (by mail) explaining the program in detail.
• Phone call to member or caregiver for Comprehensive Medication Review (CMR)
• Annual Comprehensive Medication Review (CMR) is conducted to identify potential drug therapy problems and create an action plan to resolve them. The phone call is made directly to the member or member’s authorized representative by a Pharmacist or Nurse. The phone call may take 20 to 30 minutes to complete.
• Follow-up interventions by a qualified health professional, including quarterly Targeted Medications Reviews (TMR) such as monitoring of medication utilization.
• Consultations and interventions with prescribing physicians to optimize drug therapy and resolve any medication-related issues.
• Member will receive, within 14 days after the interview, a summary of the interview that will include the updated patient medication list and the action plan to be taken regarding the member’s drug therapy.
• MTM Program is dedicated to providing our members with information about safe medication disposal. Medications that are safe for you may not be safe for someone else. Unneeded medications should be disposed of as soon as possible. You can discard your unneeded medications through a local safe disposal program or at home for some medications.
1. Locating a community safe drug disposal site
• A drug take-back site is the best way to safely dispose of medications. To find drug take-back sites near you, visit the website below and enter your location: https://apps2.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e2s1
Some pharmacies and police stations offer on-site drop-off boxes, mail-back programs, and other ways for safe disposal. Call your pharmacy or local police department (non-emergency number) for disposal options near you.
2. Mailing medications to accepting drug disposal sites
• Medications may be mailed to authorized sites using approved packages. Information on mail-back sites can be found at: deatakeback.com
3. Safe at-home medication disposal
• You can safely dispose of many medications through the trash or by flushing them down the toilet. Visit the following website to learn more about safe at-home disposal You can safely dispose of many medications through the trash or by flushing them down the toilet. Visit the following website to learn more about safe at-home disposal: https://www.hhs.gov/opioids/prevention/safely-dispose-drugs/index.html
Follow these steps for medication disposal in the trash:
• Remove medication labels to protect your personal information
• Mix medications with undesirable substances, such as dirt or used coffee grounds
• Place mixture in a sealed container, such as an empty margarine tub
Download a copy of the Personal Medication List:
|Personal Medication List||Download|
For more information, contact us at 1-844-212-9858 (Toll-free), 711 TTY, Monday through Friday from 8:00 a.m. to 8:00 p.m.