Medication Therapy Management
MEDICATION THERAPY MANAGEMENT PROGRAM (MTM)
Find out more information about MTM through our partner, SinfoníaRx: https://www.cureatr.com/mtm-for-patients
If you’re in a Medicare drug plan and you have complex health needs, you may be able to participate in a MTM program. MTM is a service offered by MyTruAdvantage at no additional cost to you! The MTM program is required by the Centers for Medicare and Medicaid Services (CMS) and is not considered a benefit. This program helps you and your doctor make sure that your medications are working. It also helps us identify and reduce possible medication problems.
How will I know if I qualify for the MTM Program?
To take part in this program, you must meet certain criteria set forth in part by CMS. These criteria are used to identify people who have multiple chronic diseases and are at risk for medication-related problems. If you meet these criteria, we will send you a letter inviting you to participate in the program and information about the program, including how to access the program. Your enrollment in MTM is voluntary and does not affect Medicare coverage for drugs covered under Medicare.
To qualify for MyTruAdvantage’s MTM program, you must meet one of the two following criteria:
- Be an At-Risk Beneficiary, which means you have coverage limitation(s) in place for medication(s) with a high risk for dependence and/or abuse, or
- Meet ALL of the following criteria: You have at least 3 of the following conditions or diseases:
- Chronic Heart Failure (CHF)
- Chronic Obstructive Pulmonary Disease (COPD)
- You take at least 8 covered Part D medications .
- You are likely to have medication costs of covered Part D medications greater than $5,330 per year in 2024.
What services are included in the MTM Program?
To help reduce the risk of possible medication problems, the MTM program offers two types of clinical review of your medications:
- Targeted medication review: at least quarterly, we will review all your prescription medications and contact you, your caregiver, your pharmacist, and/or your doctor if we detect a potential problem.
- Comprehensive medication review: at least once per year, we offer a free discussion and review of all of your medications by a pharmacist or other health professional to help you use your medications safely. This review, or CMR, is provided to you confidentially via telephone by pharmacies operated by SinfoníaRx. The CMR may also be provided in person or via telehealth at your provider’s office, pharmacy, or long-term care facility. If you or your caregiver are not able to participate in the CMR, this review may be completed directly with your provider. These services are provided on behalf of MyTruAdvantage. This review requires about 30 minutes of your time. Following the review, you will get a written summary of this call, which you can take with you when you talk with your doctors. This summary includes:
- Recommended To-Do List (TDL): The list has steps you should take to help you get the best results from your medications.
- Personal Medication List (PML): The medication list will help you keep track of your medications and how to use them the right way.
To obtain a blank copy of the Recommended To-Do-List (TDL) or Personal Medication List (PML) that can help you and your health care providers keep track of the medications you are taking, click here
How can I get more information about the MTM Program?
If you take many medications for more than one chronic health condition contact your drug plan to see if you’re eligible for MTM, or for more information, please contact Member Services, at 1-877-403-6035 24 hours a day, 7 days a week (TTY users call 711 ).
Find out more information about MTM through our partner, SinfoníaRx:https://www.cureatr.com/mtm-for-patients
How do I safely dispose of medications I don’t need?
The MyTruAdvantage Select (HMO), MyTruAdvantage Select Plus (HMO), MyTruAdvantage Choice Plus (PPO) MTM Program is dedicated to providing you with information about safe medication disposal. Medications that are safe for you may not be safe for someone else. Unneeded medications should be disposed of as soon as possible. You can discard your unneeded medications through a local safe disposal program or at home for some medications.
- Locating a community safe drug disposal site
Some pharmacies and police stations offer on-site drop-off boxes, mail-back programs, and other ways for safe disposal. Call your pharmacy or local police department (non-emergency number) for disposal options near you.
- Mailing medications to accepting drug disposal sites
Medications may be mailed to authorized sites using approved packages. Information on mail-back sites can be found at www.deatakeback.com.
- Safe at-home medication disposal
You can safely dispose of many medications through the trash or by flushing them down the toilet. Visit the following website first to learn what medications are safe to dispose of at home: https://www.hhs.gov/opioids/prevention/safely-dispose-drugs/index.html