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Medication Therapy Management Programs

Working to ensure the safety and effectiveness of your medications

Working to ensure the safety and effectiveness of your medications

Our Medication Therapy Management (MTM) program helps you and your doctor manage your medications. Members who qualify are automatically enrolled in the MTM program. Read about the program.

If you qualify for the program, a pharmacist will review your drugs 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.

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 drug costs (includes amounts paid by both you and the plan)
  3. Take eight or more maintenance drugs that are covered by your Medicare Part D plan

    OR
  4. Are an at-risk beneficiary (ARBs) under a Drug Management Program (DMP)

Outcomes MTM is teamed up with Aetna.

 

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}, Monday through Friday, from 8:00 a.m. to 7:00 p.m. CT.

 

See a sample 2024 MTM enrollment letter

 

See a sample 2024 MTM enrollment letter (Spanish)

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 $4,935 in 2023 on prescription drug costs (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. Are an at-risk beneficiary (ARB) under a Drug Management Program (DMP)

Outcomes MTM is teamed up with Aetna.

 

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}, Monday through Friday, from 8:00 a.m. to 6:00 p.m. CT.

 

See a sample 2023 MTM enrollment letter

 

See a sample 2023 MTM enrollment letter (Spanish)

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 drugs (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 drug list and and a recommended to do list to help you manage your medications. Be sure to share this information with your doctor.

Information for safe drug disposal

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

 

Locating a community safe drug disposal site

The best way to safely dispose your drugs 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 drug 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 drugs.

 

Mailing medications to accepting drug disposal sites

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

 

Safe at-home medication disposal

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

 

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

 

If you are disposing drugs 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 medication list

 

See a sample 2024 medication list (Spanish)

 

See a sample Recommended To-Do list 2024

 

See a sample Recommended To-Do list 2024 (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.

 

Need more information?

Call our MTM at 1-855-905-4689 ${tty}, Monday through Friday, from 8 AM. to 7 PM. CT

 

MTM programs are not considered benefits.

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 drugs (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 drug 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 drug disposal

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

 

Locating a community safe drug disposal site

The best way to safely dispose your drugs 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 drug 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 drugs.

 

Mailing medications to accepting drug disposal sites

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

 

Safe at-home medication disposal

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

 

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

 

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

  • Remove 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 2023 medication list

 

See a sample 2023 medication list (Spanish)

 

See a sample 2023 Recommended To-Do list

 

See a sample 2023 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. We may also contact you with our suggestions so you can discuss them with your doctor.

 

MTM programs are not considered benefits.

 

If you need more information, please call our MTM representatives at 1-855-905-4689 ${tty}, Monday through Friday, from 8 AM. to 7 PM. CT

Disclaimers

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area. 

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year.

Aetna Medicare's pharmacy network includes limited lower cost preferred pharmacies in: Urban and Rural Michigan, Rural Nebraska, Rural Maine, Suburban Illinois, Suburban South Carolina. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use.

For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at https://www.aetnamedicare.com/pharmacyhelp.

This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs.

 

Need help with Medicare enrollment?

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