Medication Therapy Management

Our Medication Therapy Management (MTM) program can help members who qualify get the most benefits from the drugs they are taking. MTM is free. To qualify for MTM, you need to have three or more of these chronic conditions:

• Chronic heart failure (CHF)
• Chronic obstructive pulmonary disease (COPD)
• Depression
• Diabetes
• End stage renal disease (ESRD)
• High blood pressure
• High cholesterol
• Human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS)
• Osteoporosis
• Rheumatoid arthritis

You also need to:

• Be taking eight or more medications
• Have drug costs of $5,330 or more per year

We will review your medication usage each quarter. If we see that you qualify, we will enroll you in the program. Then, we will send you an invitation to talk about your medications with one of our pharmacists or other health professionals.

If you accept the invite, we will set up a comprehensive medication review (CMR). This usually takes 30 – 60 minutes. After the CMR, you will receive a Medication Action Plan (MAP). The action plan has steps you should take to help you get the best results from your medications.  You will also receive a Personal Medication List (PML), which will help you keep track of your medications and how to use them the right way. You can use this action plan and medication list to show your healthcare providers all of the medications you are taking. 

Click here to obtain a blank copy of the Personal Medication List (PML)

MTM also includes a targeted medication review (TMR). A TMR identifies any ways your medication use can be improved for your safety. If we notice any, we will contact the provider who prescribed the drugs and ask them to make any needed changes.