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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. 

 

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 leave the program at any time. 

What does it cost?

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

2021

You qualify for our MTM program if you:

 

  1. Have three or more of these conditions:
    • Osteoporosis
    • Chronic heart failure (CHF)
    • Diabetes
    • Depression
    • Asthma
    • Chronic obstructive pulmonary disease (COPD)
    • Cardiovascular disorders (Not for prescription drug plans)
  2. Are likely to spend more than $4,376 in 2021 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

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.

 

Outcomes MTM is partnered with Aetna.

 

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

 

See a sample 2021 MTM enrollment letter - English (PDF)

 

See a sample 2021 MTM enrollment letter - Spanish (PDF)

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

 

  1. A pharmacist reviews all of your medications to see if there are any drug therapy issues.

  2. If needed, a pharmacist will work with your doctor to resolve any drug therapy issues.

  3. The pharmacist 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 pharmacist will give you a personal medication list and an action plan to help you manage your medications. Be sure to share this information with your doctor.

 

See a sample 2021 personal medication list - English (PDF)

 

See a sample 2021 personal medication list - Spanish (PDF)

 

See a sample 2021 medication action plan - English (PDF)

 

See a sample 2021 medication action plan - Spanish (PDF)

 

We'll review your medications at least once every three months. After each review, we may send suggestions to your doctor about prescriptions that may be safer or a better alternative. As always, your doctor will decide whether to consider our suggestions. Your prescription drugs won’t change unless you and your doctor decide to change them. We may also contact you with suggestions about your medications.

 

MTM programs are not considered benefits.