Medication Therapy Management

We can help you stay healthy with the Medication Therapy Management (MTM) Program. It is also known as the Medicine Review Program. This program gives you the tools you need to get the most from your medicines. MTM services are not considered a benefit. We offer the MTM Program to members of OneCare (HMO D-SNP) at no cost.

The MTM Program is for members who are at a high risk of having adverse effects from the medicines they take. Through the MTM Program you can talk with one of our pharmacists at no cost. Our pharmacists teach you how to take your medicines in a safe and proper way. Taking your medicines the correct way can help prevent side effects. It can also lower your out-of-pocket costs.

As part of the MTM Program, a pharmacist does a comprehensive medication review (CMR) with you. Your CMR can be done in person or over the phone. Your CMR may take 30 to 60 minutes to complete.

During your CMR, the pharmacist looks at:

After meeting with a pharmacist, we will mail you a letter with:

Pharmacists perform targeted medication reviews (TMR) at least once each quarter. The pharmacist looks at only some of the medicines you take that could put you at risk for adverse effects. If you are at risk, the pharmacist will tell your doctor.

Once a quarter, we select members to take part in the MTM Program. If you meet one or more of the groups below, we will mail you a letter to let you know you have been enrolled into the MTM Program. Your mailing will also include information about how to safely dispose of unused prescription medicines.

Group 1: You are chosen for the MTM Program if A, B and C apply to you:

A. You receive medicines for 3 or more of the following conditions:

B. You are taking 8 or more medicines through OneCare per quarter

C. You will likely exceed $4,696 in medicine costs per year

Group 2: You are chosen for the MTM Program if:

1. It is determined that you are at high risk of having an adverse event or overdose due to your total opioid dose from multiple prescribers or pharmacies.

2. You have a recent history of opioid-related overdose.

If you have any questions or do not want to be part of this program and wish to opt out, call OneCare Customer Service at 1-877-412-2734 (TTY 711), 24 hours a day, 7 days a week. We have staff who speak your language.

Unused or expired medicines should be disposed of as soon as possible. Storing unneeded medicines at home can be a risk for others who may take them by mistake or abuse them.

The best way to dispose of medicines is through a take back program or site that will safely and securely dispose of your medicines.

When a take back option is not available, two options for disposing medicines at home include flushing down the toilet or throwing away in household trash.

        1. Remove the medicine from the container.
        2. Mix the medicine with a substance that cannot be consumed, such as coffee grounds or cat litter.
        3. Place the mixture in a sealed bag and throw it away in the trash.
        4. Remove all personal information on the label of the empty medicine container.

To learn more about how to safely dispose of medicines, visit www.hhs.gov/opioids/prevention/safely-dispose-drugs/index.html.

Be sure to review all your medicines with your doctor or pharmacist on a routine basis. Discard medicines as soon as you no longer need them.

Read the letters that are mailed to you once a quarter. These letters include updates on different health topics.