Medication Therapy
Management (MTM) Program


Our goal is to help you get the best results from your medications at the lowest possible price. This program will help you to:

  • Make sure all your medications are the right choice for your medical conditions
  • Learn how to get the most from your medications
  • Lower your risk for potential harmful drug reactions and side effects
  • Learn why it's important to take your medications on time
  • Potentially find ways to save money

Member Eligibility

You are automatically enrolled if you meet the following criteria:

1)Have three or more of the conditions listed below:

  • Diabetes
  • Heart failure
  • High blood pressure
  • High cholesterol
  • Rheumatoid Arthritis

2)Take eight or more covered Medicare Part D prescriptions, AND:

3)Expect to spend more than $3,919 in 2017 on covered Medicare Part D prescriptions

Services offered:

  • Yearly Comprehensive Medication Review (CMR)
  • Quarterly Targeted Medication Review (TMR)

These services are provided by telephone, or in some cases in-person.

What You Can Expect

What can you expect from the following services?

  • For a Comprehensive Medication Review(CMR):

    You will be asked to have all your medications with you. A trained MTM provider will review each of them, including how much and how often you take them. The review usually takes about 30 minutes. After the review, you will receive a summary of the discussion, Medication Action Plan, and a Personal Medication List. A sample of the list is included at the end of this document.
  • For a Targeted Medication Review (TMR):

    Once every few months, your medications will be reviewed for certain medication issues. We may contact your health care provider if we find a potential problem.

It's easy to get started!

If you meet the eligibility criteria above, you will be automatically enrolled in the MTM Program, including CMR and TMR services. You will get a welcome letter that tells you how to schedule a CMR.

There is no added cost to eligible members for this program. You may cancel your enrollment in the MTM program at any time. You may also choose to take part in only certain services you find valuable. Your prescription drug benefits will not change if you do or do not participate in this program.

For more information, or to receive MTM service documents, call the customer or member service phone number on the back of your member ID card. Ask to speak to someone about the MTM Program.

The MTM Program is a service offered to eligible members at no additional cost; this service is not considered a benefit.

Our purpose is to help you get the medicine you need to feel better and live well.

For additional information, click here .

Personal Medication List 

For additional information, please call our Customer Service number at 1-888-285-2249 (TTY/TDD users should call 711). We are open between 8:00 a.m. and 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays.