Medication Therapy Management

Our Medication Therapy Management (MTM) program helps you and your doctor manage your medications. 

If you qualify for the program, a pharmacist will review your medications and talk with you about:

  • How to get the most benefit from the drugs you take
  • Any side effects or reactions
  • Any questions or concerns you have
  • Options that may help you save money

We automatically enroll members in our MTM programs, if you qualify. Participation is voluntary. You can opt out of the program at any time. 

What does it cost?

There’s no added cost to be in our MTM program.

Do you qualify?

You qualify for our MTM program if you:

  1. Have three or more of these conditions:
    • Osteoporosis
    • Chronic heart failure (CHF)
    • Diabetes
    • Dyslipidemia
    • Chronic obstructive pulmonary disease (COPD)
  2. Are likely to spend more than $5,330 in 2024 on prescription drugs (includes amounts paid by both you and the plan)
  3. Take eight or more maintenance medications that are covered by your Medicare Part D plan

OR

    4. At-risk beneficiaries (ARBs) under a Drug Management Program (DMP)

If you meet all of these criteria, we’ll mail you a letter confirming your enrollment in our MTM program. You’ll also get a call from us. 

 

To leave the program, just call our MTM representatives at 1-855-905-4689 (TTY: 711), Monday through Friday, 8:00 a.m. to 7:00 p.m. CT.

 

Learn how the program works

Once in the program, you’re offered a comprehensive medication review. It includes several steps:

  1. A health care provider reviews all of your medications to see if there are any drug therapy issues.
  2. If needed, a health care provider will work with your doctor to resolve any drug therapy issues.
  3. The health care provider will talk with you over the phone or in person at your local pharmacy. They’ll review your current medications (both prescription and over-the-counter) and your medical conditions. This will take about 30 minutes.
  4. The health care provider will give you a medication list and a recommended to do list to help you manage your medications. Be sure to share this information with your doctor.

 

Information for Safe Medication Disposal

Medications that are safe for you may be harmful to someone else. Unused and expired medications should be disposed of as soon as possible. You can discard your unused, unwanted, or expired medications through a community safe disposal program or at home for certain medications.

 

Locating a community safe drug disposal site

The best way to safely dispose of medications is at a drug take back site. To find drug take back sites nearest you, visit the website below and enter your location:

     https://apps2.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e2s1

You can also call your pharmacy or local law enforcement (non-emergency number) for a safe medication disposal site near you. Some pharmacies offer on-site medicine drop-off boxes, mail-back programs, and other ways to help you safely dispose of your unused medications.

 

Mailing medications to accepting drug disposal sites

The United States Drug Enforcement Administration allows prescription medications to be mailed back to select pharmacies or authorized sites using approved packages. Information on these sites can be found at www.deatakeback.com.

 

Safe at-home medication disposal

You can safely dispose of many medications at home through household trash or by flushing them down the toilet. To determine best way to dispose of your medication(s), please visit the following website:

https://www.hhs.gov/opioids/prevention/safely-dispose-drugs/index.html

If you are disposing medications in household trash, follow these recommendations

  • 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

 

See a sample 2024 MTM enrollment letter (English)

See a sample 2024 MTM enrollment letter (Spanish)

See a sample 2024 medication list  (English)

See a sample 2024 medication list  (Spanish)

See a sample 2024 recommendation to do list  (English)

See a sample 2024 recommendation to do list  (Spanish)

 

We’ll complete a targeted medication review (TMR) at least once every three months. After each review, we may send suggestions to your doctor about prescriptions that may be a safer or  better alternative. As always, your doctor will decide whether to consider our suggestions. Your prescriptions won’t change unless you and your doctor decide to change them.

MTM programs are not considered benefits.

Need more information?

Call our MTM representatives at 1-855-905-4689 (TTY: 711), Monday through Friday, from 8 AM to 7 PM CT.

 

Do you qualify?

You qualify for our MTM program if you:

  1. Have three or more of these conditions:
    • Respiratory Disease (Asthma, Chronic Obstructive Pulmonary Disease (COPD), Chronic Lung Disorders)
    • Bone Disease (Osteoarthritis, Osteoporosis, Rheumatoid Arthritis)
    • Alzheimer’s Disease
    • ESRD
    • Hypertension
    • Mental Health (Disabling Mental Health Conditions, Schizophrenia, Depression, Bipolar Disorder)
    • HIV/AIDS
    • Chronic heart failure (CHF)
    • Diabetes
    • Dyslipidemia
  2. Are likely to spend more than $1,623 in 2025 on prescription drugs (includes amounts paid by both you and the plan)
  3. Take eight or more maintenance medications that are covered by your Medicare Part D plan

OR

  1. At-risk beneficiaries (ARBs) under a Drug Management Program (DMP)

If you meet all of these criteria, we’ll mail you a letter confirming your enrollment in our MTM program. You’ll also get a call from us. 

 

To leave the program, just call our MTM representatives at 1-855-905-4689 (TTY: 711), Monday through Friday, 8:00 a.m. to 6:00 p.m. CT.

 

Learn how the program works

Once in the program, you’re offered a comprehensive medication review. It includes several steps:

  1. A health care provider reviews all of your medications to see if there are any drug therapy issues.
  2. If needed, a health care provider will work with your doctor to resolve any drug therapy issues.
  3. The health care provider will talk with you over the phone or in person at your local pharmacy. They’ll review your current medications (both prescription and over-the-counter) and your medical conditions. This will take about 30 minutes.
  4. The health care provider will give you a medication list and a recommended to-do list to help you manage your medications. Be sure to share this information with your doctor.

 

Information for Safe Medication Disposal

Medications that are safe for you may be harmful to someone else. Unused and expired medications should be disposed of as soon as possible. You can discard your unused, unwanted, or expired medications through a community safe disposal program or at home for certain medications.

 

Locating a community safe drug disposal site

The best way to safely dispose of medications is at a drug take back site. To find drug take back sites nearest you, visit the website below and enter your location:

https://apps2.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e2s1

You can also call your pharmacy or local law enforcement (non-emergency number) for a safe medication disposal site near you. Some pharmacies offer on-site medicine drop-off boxes, mail-back programs, and other ways to help you safely dispose of your unused medications.

 

Mailing medications to accepting drug disposal sites

The United States Drug Enforcement Administration allows prescription medications to be mailed back to select pharmacies or authorized sites using approved packages. Information on these sites can be found at https://www.dea.gov/takebackday.

 

Safe at-home medication disposal

You can safely dispose of many medications at home through household trash or by flushing them down the toilet. To determine best way to dispose of your medication(s), please visit the following website:

https://www.hhs.gov/opioids/prevention/safely-dispose-drugs/index.html

If you are disposing medications in household trash, follow these recommendations

  • 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

 

See a sample 2025 MTM enrollment letter  (English)

See a sample 2025 MTM enrollment letter  (Spanish) 

See a sample 2025 medication list   (English) 

See a sample 2025 medication list (Spanish)

See a sample 2025 recommended to do list   (English) 

See a sample 2025 recommended to do list   (Spanish) 

 

We’ll complete a targeted medication review (TMR) at least once every three months. After each review, we may send suggestions to your doctor about prescriptions that may be a safer or  better alternative. As always, your doctor will decide whether to consider our suggestions. Your prescriptions won’t change unless you and your doctor decide to change them.

MTM programs are not considered benefits.

Need more information?

Call our MTM representatives at 1-855-905-4689 (TTY: 711), Monday through Friday, from 9 AM to 7 PM ET.