Medication therapy management - Chapter 8, 2022 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.
  • Incur an annual cost of at least $4,696 for all covered Part D drugs.
  • Are locked into a specific pharmacy or health care provider in the Drug Management Program.

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 of drugs currently on the market, making recommendations for lower-cost or generic drugs where applicable. In addition, provide members in the MTM program with information on the safe disposal of unused medications, including controlled substances.

We may relay this information to you as well with the option 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.