What Is Medication Therapy Management?
We can help you stay healthy with our Medication Therapy Management (MTM) Program, or Medicine Review Program. We offer the MTM Program to our OneCare (HMO D-SNP) members at no cost.
MTM can help you if you’re at high risk of having adverse effects from the medicines you take as a OneCare member. With MTM, you can talk to one of our pharmacists at no cost, so they can show you how to take your medicines in a safe way. Taking your medicines the right way can keep you from having side effects.
Comprehensive Medication Review
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 do.
During your CMR, the pharmacist looks at:
- Why you’re taking each of your medicines
- If your medicines are working for you
- If your medicines are causing any side effects
- If your medicines are affecting each other, foods or over-the-counter medicines
- If there are ways to lower the number of medicines you are taking
After you meet with a pharmacist, we’ll mail you a letter with:
- A Recommended To-Do List from your CMR and the steps to help you take your medicines safely
- A Medication List that shows all your medicines, how to take them and why you take them
MEDICINES
Medication List
Use our Medication List to help you track your medicines and keep them up to date.
MEDICINES
Targeted Medication Review
Pharmacists do targeted medication reviews (TMR) at least once every 3 months. The pharmacist looks over your medicines and will reach out to your doctor if there are ways to improve your medicines or if there are safety issues.
Medication Therapy Management Eligibility Requirement
Once a quarter, we choose members to take part in the MTM Program. If you are in one or more of the groups below, we’ll mail you a letter to let you know we have enrolled you in the MTM Program. The letter will also have info about how to safely get rid of unused prescription medicines.
Group 1
You are chosen for the MTM Program if A, B and C apply to you:
A. You have 3 or more of the conditions below:
- Alzheimer’s Disease
- Bone disease-arthritis such as osteoporosis, osteoarthritis, and rheumatoid arthritis
- Chronic congestive heart failure (CHF)
- Diabetes
- Dyslipidemia or high cholesterol
- End-Stage Renal Disease (ESRD)
- Human immunodeficiency virus/Acquired immunodeficiency syndrome (HIV/AIDS)
- Hypertension or high blood pressure
- Mental health conditions such as depression, schizophrenia, and bipolar disorder
- Respiratory diseases such as asthma and chronic obstructive pulmonary disease (COPD)
B. You are taking 8 or more medicines for your chronic health conditions through OneCare per quarter.
C. You will likely have more than $1,623.00 in medicine costs per year.
Group 2
You are chosen for the MTM Program if:
- We decided you are at high risk of having an adverse event or overdose due to your total opioid dose from several prescribers or pharmacies.
- You have a recent history of opioid-related overdose.
If you have questions or don’t want to be part of our MTM Program and want to opt out, call CalOptima Health 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.
Get Rid of Unused, Unneeded or Expired Medicines
You should get rid of unused or expired medicines 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 get rid of medicines is through a take back program or a site that will safely get rid of them.
- National Rx Take Back Days: In April and October, the Drug Enforcement Administration hosts a Take Back Day. To find dates and locations, visit www.deatakeback.com.
- Permanent drop-off sites: Some pharmacies and police stations offer drop-off boxes or mail-back programs that you can use at any time of the year at no cost. To find a site near you, visit https://bit.ly/disposallocationsites.
When a take back option is not available, you could have two options for getting rid of medicines at home:
- Flush disposal: Medicines that are highly abused or have a high risk of death should be flushed down the toilet and not thrown away in household trash. These include some opioid pain medicines, such as hydrocodone and fentanyl. To find the flush list, visit https://bit.ly/fdaflushlist.
- Household trash disposal: If the medicine is not on the flush list, follow these steps:
- Remove the medicine from the container.
- Mix the medicine with coffee grounds, dirt or cat litter.
- Place the mixture in a sealed bag and throw it away in the trash.
- Remove all personal information on the label of the empty medicine container.
To learn more about how to safely get rid of medicines, visit https://bit.ly/rxdisposallist.
Be sure to look over all your medicines with your doctor or pharmacist often. Throw away medicines as soon as you no longer need them.
Health Updates
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