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 two or more of these chronic conditions:

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

You also need to:

  • Be taking five or more medications
  • Have drug costs of $4,044 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.

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. The action plan lists all of your medications. You can use this action plan to show your healthcare providers all of the medications you are taking.

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.

Last updated Sep. 26, 2018
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