Medication Therapy Management

Reduce risks and costs when you take multiple medications

If you take multiple medications, you’re at increased risk for errors that can result in serious complications such as heart attacks, falls, blood clots and kidney failure.

Our Medication Therapy Management (MTM) program aims to prevent such errors. The program is a collaboration between you, your pharmacist and doctors to ensure you take medications safely while achieving the best possible outcome.

While MTM services are free for eligible members (defined below) with Medicare Part D prescription drug coverage, MTM is not a plan benefit.

Benefits of MTM include:

• Improved adherence: We’ll help you safely take medications as prescribed.
• Improved safety: MTM can help you avoid dangerous side effects and duplication of medications.
• Lower costs: The program has reduced members’ direct pharmacy costs by an average of 16% and indirect medical costs by 21%.

Who is eligible for the Medication Therapy Management (MTM) program?

You’re eligible for MTM if you:

• Use eight or more medications
• Are likely to spend more than $1,276 on medications in 2026
• According to clinical guidelines, have been identified as at-risk for potential misuse or abuse of frequently abused drugs
• Have at least three qualifying medical conditions from the list below:
  • Alzheimer's disease, osteoarthritis, rheumatoid arthritis, osteoporosis, depression, major depressive disorder, bipolar disorder, schizophrenia, chronic heart failure, diabetes, dyslipidemia, HIV/AIDS, hypertension, end-stage renal disease, chronic obstructive pulmonary disease (COPD), asthma, dementia, urge/stress incontinence, insomnia, Crohn's disease and plaque psoriasis

To review your HAP pharmacy claim history, log in to the HAP member portal.

If you’re eligible, we’ll contact you to explain the program and its potential benefits. Then, a pharmacy team member will contact you to answer your questions and set up an appointment with one of our MTM pharmacists.

How does Medication Therapy Management work?

Once you’re enrolled in MTM, a pharmacist will call you to conduct a comprehensive medication review. During this review, the pharmacist will:

• Discuss your medications and answer questions
• Identify possible drug interactions
• Highlight potential ways to reduce your drug costs
• Determine if any medications need to be adjusted for safety or to improve your health

The pharmacist will work with your doctors to make any necessary medication changes. You will not need to change doctors or pharmacies for the MTM program.

Within 14 calendar days after completing the review, you’ll receive a letter containing:

• Your MTM pharmacist’s name and contact information
• An action plan listing all discussed medication-related concerns
• Follow-up steps

You’ll also receive a personal medication list that includes:

• Your prescription and over-the-counter medications
• How to take each drug
• Why you are taking each drug
• Who prescribed each drug

To help keep track of this information, download a medication list template.

The Centers for Medicare & Medicaid Services require that you receive a Targeted Medication Review (TMR) every three months if you’re enrolled in MTM. The pharmacy team will send letters and then perform outreaches to conduct these reviews, during which time they will answer questions and help make sure you’re taking your medications as prescribed.

Contact us with questions