Medication Therapy Management Program

UnitedHealthcare’s Medication Therapy Management (MTM) program was developed by a team of pharmacists and doctors. The MTM program provides members with a comprehensive medication review (CMR) with a pharmacist or other qualified health care provider. The program helps members understand their drug coverage and how to use their medications, and also educates members of potentially harmful drug interactions and/or risks of side effects.

How to qualify

 

This program is available at no additional cost.  Members will be automatically enrolled in the Medication Therapy Management Program if they:

  • take eight (8) or more chronic Part D medications, and
  • have three (3) or more long-term health conditions from the following list:
    • Chronic obstructive pulmonary disease (COPD)
    • Diabetes
    • Heart Failure
    • High Cholesterol
    • Osteoporosis 
  • are likely to spend more than $4,696 a year on covered Part D medications

OR

  • are in a Drug Management Program to help better manage and safely use medications such as those for pain

 

What you need to do

Within 60 days of becoming eligible for the MTM program, the member will receive an offer by mail to complete a Comprehensive Medication Review (CMR). The member may also receive this offer by phone.

The member can complete the CMR by phone or in person with a qualified health care provider. It takes about 30 minutes. A pharmacist, or qualified CMR provider, will review the member's medication history, including prescription and over-the-counter medications, and look for any issues.   

 

What's next

Within 14 days of the CMR, the member will receive a packet containing a summary of the review including action items discussed and a list of the medications the member is taking and why they take them.  This can be helpful when meeting with the doctor or pharmacist. The results may be sent to the doctor. In addition, members in the MTM program will receive information on the safe disposal of prescription medications including controlled substances.

Members can also download a blank medication list for their personal use.

In addition to the CMR, Targeted Medication Reviews are done at least quarterly. This is done to find any drug-drug interactions or other medication concerns. Those reviews will be sent to the member's doctor.

The Medication Therapy Management program isn’t a plan benefit. For more information on UnitedHealthcare’s Medication Therapy Management program, please call the phone number on the member ID card or call the OptumRx MTM clinical call center team at 866-216-0198, TTY 711, Monday – Friday 9 a.m. – 9 p.m. EST.