Medication Therapy Management (MTM) - Chapter 8, 2021 UnitedHealthcare Administrative Guide

The Medication Therapy Management (MTM) Program is a free service we offer to members. We conduct reviews on members who:

  • Have multiple chronic conditions;
  • Are taking multiple Part D drugs; and
  • Incur an annual cost of at least $4,376 for all covered Part D drugs.

We use the MTM program to help ensure our members are using appropriate drugs to treat their medical conditions and to identify possible medication errors. We attempt to educate members as to drugs currently on the market, making recommendations for lower-cost or generic drugs where applicable.

We may relay this information to the care provider as well with the option for doctors to change drug therapies, as appropriate. You may receive calls or faxes from our pharmacy department following up on any interventions discussed with your patient.