Medication Therapy Management ProgramsPosted by Medicare Made Clear
What it is
Medication Therapy Management (MTM) is a Medicare program that every Medicare Part D plan provider is required to offer its members that qualify.
Eligibility for the program usually requires certain criteria is met, such as the enrollee’s annual Part D drug costs, the number of diseases the person has and the number of prescription drugs the enrollee takes. This criteria is determined by the Medicare Part D plan and can vary.
It is important to talk to your Medicare Part D plan provider to find out if you qualify for their MTM program.
What it does
The MTM program is designed to help you make sure you are taking all your medicine correctly and that your medicine is working to treat your medical conditions.
How it works
A pharmacist or other medical professional qualified to conduct an MTM review will look at all of your medications and talk with you about:
how to take your medicine
medicine costs and drug interactions
any questions or problems you may have about your medicine and any over-the-counter medicine you are taking
Generally, after the MTM review, the qualified pharmacist or other medical professional will give you a copy of your personalized medication list and an action plan showing you how and when to take your medicine. Talk to your Medicare Part D plan provider to find out what services are included in their plan’s MTM program review.
Not eligible to take part in a MTM program?
Managing your medicine correctly is important to your health. By learning more about each medication and sticking to a daily routine, it may be much easier to keep track of which medicine to take and when to take it.
Once you have a good understanding of your medicine, figure out ways to help you remember how and when to take each drug. Create a medication schedule. You can list every medication you use, the amount and the time of day you take it. Keep the list up to date and bring it with you to your next doctor’s visit.
Learn as much as you can about the medicines you’re taking. You may want to ask your doctor the following questions.
How long before or after eating should I take the medicine?
Can I take the medicine with milk, fruit juice or coffee? Are there foods that make it less effective?
Should I stop doing certain activities (e.g., driving) while taking this medicine?
Is it OK to drink alcohol while taking this medicine?
What should I do if I miss a dose?
Is it OK to crush the pill if it’s hard to swallow, or does the medicine come in a liquid form?
If there is a problem with your medicine, don’t change the dose or stop taking it without talking to your doctor.
For more information, contact the Medicare helpline 24 hours a day, seven days a week at 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048. If you have questions about Medicare Made Clear, call 1-877-619-5582, TTY 711, 8 a.m. – 8 p.m. local time, seven days a week.
Medication Therapy Management: Centers for Medicare and Medicaid Services (cms.gov)
Medicare Part D’s Medication Therapy Management: Shifting from Neutral to Drive: AARP® Public Policy Institute (aarp.org)