Submitted by ItsTrueAdmin on

Medication Therapy Management

MyTruAdvantage

MEDICATION THERAPY MANAGEMENT PROGRAM (MTM)

Find out more information about MTM through our partner, Aspen RxHealth: https://aspenrxhealth.com

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:

  1. 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
  2. Meet ALL of the following criteria:

    You have at least 3 of the following conditions or diseases:

    • Alzheimer’s Disease
    • Bone disease-arthritis (including osteoporosis, osteoarthritis, and rheumatoid arthritis)
    • Chronic congestive heart failure (CHF)
    • Diabetes
    • Dyslipidemia
    • End-stage renal disease (ESRD)
    • Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS)
    • Hypertension
    • Mental health (including depression, schizophrenia, bipolar disorder, and other chronic/disabling mental health conditions)
    • Respiratory Disease (including asthma, chronic obstructive pulmonary disease (COPD), and other chronic lung disorders)
  3. You take at least 8 covered Part D medications.
  4. You are likely to have medication costs of covered Part D medications greater than $1,623 per year in 2025.

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 Aspen RxHealth. If you or your caregiver are not able to participate in the CMR, this review may be completed directly with your doctor. 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 MyTruAdvantage 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, Aspen RxHealth:https://aspenrxhealth.com/

How do I safely dispose of medications I don’t need?

The MyTruAdvantage Select (HMO), MyTruAdvantage Select Plus (HMO), and 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

    A drug take back site is the best way to safely dispose of medications. To find drug take back sites near you, visit the website below and enter your location: https://apps.deadiversion.usdoj.gov/pubdisp/

    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 https://www.dea.gov/takebackday
    You may also call 1-800-882-9539 for more information and to find an authorized collection in your community.

  • 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 home : https://www.hhs.gov/opioids/prevention/safely-dispose-drugs/index.html

    Steps for medication disposal in the trash:
    • Remove medication labels to protect your personal information.
    • Mix medications with undesirable substances, such as dirt or used coffee grounds.
    • Place mixture in a sealed container, such as an empty margarine tub to prevent medicine from leaking or breaking out of a garbage bag.