What is medication therapy management?
Medication therapy management (MTM) helps you with your medicine. You’ll meet with a pharmacist who will review all the medicines you’re taking to make sure they’re working the best they can. The goal of MTM services is to make sure your mix of medicines is safe, effective and matches your lifestyle.
Who qualifies for medication therapy management? Do I get it with my insurance?
You’re eligible for MTM services if you have a HealthPartners Medicare plan with prescription drug coverage.
- For individual plans, these are our Journey plans available in parts of Minnesota, our HealthPartners Robin plans available in parts of Wisconsin, and the MSHO program.
- For group plans, check your plan’s benefits to see if you have prescription drug coverage through us. If you do, you’re eligible for MTM.
How much does the MTM program cost?
If you have a HealthPartners Medicare plan with prescription drug coverage, the MTM program is available at no cost to you.
How do I enroll in MTM?
You’ll automatically be enrolled in MTM if you:
- Take eight or more chronic medications
- Have three or more of these chronic conditions:
- Congestive heart failure (CHF)
- End-stage renal disease (ESRD)
- Chronic obstructive pulmonary disease (COPD)
- Expect your medicine costs to be greater than $4,376 in a year
After you’re automatically enrolled, you’ll receive a letter telling you what your next steps are. You can schedule an appointment or you can choose to opt out if you don’t want to be a part of the program.
If you’re not automatically enrolled, don’t worry – you can still meet with a clinical pharmacist. Email us at firstname.lastname@example.org or call Member Services at 866-233-8734 (TTY 711). We’ll help you schedule an appointment.
What happens during a meeting with an MTM pharmacist?
You’ll start with a private one-on-one appointment with a clinical pharmacist. A clinical pharmacist specializes in working with patients to make sure their medicines are helping them reach their best health.
Your appointment will usually last about an hour. During this meeting, the pharmacist will review your medicines and make sure they’re safe, effective and appropriate for your lifestyle.
Getting answers to your important questions
Your clinical pharmacist will help you answer these questions:
- Why am I taking these medicines?
- Am I taking the right medicines?
- Is the medicine working as effectively as possible?
- Am I having side effects?
- Have I had the right tests to ensure the drugs aren’t hurting me?
- Are non-prescription medicines interacting with my prescriptions?
- Can I save money on prescriptions?
After the meeting, you’ll receive a list of your medicines and an action plan to share with your doctor. If your pharmacist has suggestions to improve your medicines, they will work with you and your doctor to make those changes.
It might be helpful to download a blank personal medication list. You can also use this list to keep track of your meds.
You can follow up with your MTM pharmacist as much as needed to make sure your medicines are working as effectively as possible. We’re always here to help. And remember: There’s no cost to you.
What if I have other questions about MTM?
- Oct. 1 – March 31: 8 a.m. to 8 p.m. CT, 7 days a week.
- April 1 – Sept. 30: 8 a.m. to 8 p.m. CT, Monday through Friday. On weekends and federal holidays, leave a message and we’ll get back to you within one business day.
The MTM program is not considered a Part D benefit.
Last updated October 2020
H2462 H4882_000402 Accepted