Medication Therapy Management programs

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 drugs 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, Allina Health | Aetna.

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

See a sample 2023 MTM enrollment letter - English (PDF)

See a sample 2023 MTM enrollment letter - Spanish (PDF)

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 arecommended 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 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 drug 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 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 - English (PDF)

See a sample 2023 medication list - Spanish (PDF)

See a sample recommended To-Do list 2023 - English (PDF)

See a sample recommended To-Do list 2023 - Spanish (PDF)

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: 711), Monday through Friday, from 8 AM to 7 PM CT.