Medication Therapy Management

The Medication Therapy Management (MTM) program helps you get the greatest health benefit from your medications by:

Avoiding medication-related problems such as side effects and interactions
Better managing your medications
Optimizing the benefits of medication therapies

Who qualifies for the MTM program?

If you qualify for the MTM program, we will automatically enroll you at no cost to you. There are two ways to qualify:

1. As an at-risk beneficiary

You could qualify if you're identified as an at-risk beneficiary (ARB) under the plan’s Drug Management Program (DMP) for potential misuse of opioid medications.

2. All three (3) of the below conditions apply:

You take eight or more Medicare Part D covered maintenance medications, and
You have three or more of these long-term health conditions:
- Alzheimer’s Disease
- Bone Disease such as Arthritis, 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
In 2026: You reach $1,276 in yearly prescription medication costs paid by you and the plan
In 2027: You reach $1,340 in yearly prescription medication costs paid by you and the plan

Your participation is voluntary and does not affect your coverage. This program is free of charge and is open only to those who are invited to participate. The MTM program is not considered a benefit for all members.

What services are included in the MTM program?

The MTM program provides you with:

An annual Comprehensive Medication Review (CMR), and a
Quarterly Targeted Medication Review (TMR)

Comprehensive Medication Review (CMR)

A CMR is a one-on-one discussion with a trusted pharmacist, usually over the telephone, to review all of your medications including prescription medications, over-the-counter (OTC) medicines, herbal therapies and dietary supplements and vitamins.

A CMR with one of our trusted pharmacists will:

Help you to better understand your medications.
Help you to better manage your health conditions.
Help you to avoid medication-related problems.
Answer any questions you may have about how to take your medications, what to watch for or how to save on costs.

The pharmacist will offer ways to manage your conditions with the medications you take. If more information is needed, the pharmacist may contact your prescribing doctor. A CMR takes about 20 minutes and is usually offered once each year if you qualify.

At the end of your discussion, the pharmacist will provide you with or mail a copy of your Personal Medication List along with a Medication Action Plan regarding the information you discussed during your CMR.

Your plan may include suggestions from the pharmacist for you and your doctor to discuss during your next doctor visit.

Here is a blank copy of the Personal Medication List for tracking your prescriptions.

Targeted Medication Review (TMR)

Once a quarter, we will review your medications to ensure there are no safety concerns, missed opportunities or other issues. Any recommendations will be sent to your prescriber. As always, your prescribing doctor will decide whether to consider our recommendation. Your prescription medications will not change unless you and your doctor decide to change them.

How will I know if I qualify for the MTM program?

We will automatically enroll you and send you a welcome letter if you are eligible for the program. Along with the welcome letter, you will be contacted by an MTM Outreach Specialist to schedule your one-on-one medication review. One of our trusted pharmacists will conduct your comprehensive medication review by telephone for your convenience.

Why is a review with a pharmacist important?

Your health is our top priority. The medication review is a service to use in addition to the care you receive from your doctor or pharmacists. The aim of the MTM program is to work with you and your doctor to achieve and maintain the safest and most effective medication therapy for you. For that reason, a pharmacist will:

Discuss how your prescription drugs and OTC medications may affect each other.
Identify any prescription drugs and OTC medications that may cause side effects, and offer suggestions to help.
Help you get the most benefit from all of your prescription drugs and OTC medications.
Review opportunities to help you reduce your prescription drug costs.

How do I benefit from talking with a pharmacist?

Discussing your medications can result in real peace of mind knowing that you are taking your prescription drugs and OTC medications safely.
This also provides the pharmacist an opportunity to look for ways to help you save money on your out-of-pocket prescription drug costs.
You also benefit by having a Personal Medication List to keep and share with your doctors and health care providers.

How will the MTM program affect my plan coverage?

The MTM program is not considered part of your plan benefits that you pay for.

Your participation is voluntary and does not affect your coverage in any way. This program is free of charge and is open only to those who are eligible to participate.

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

Mount Carmel MediGold’s MTM program is dedicated to providing you with information about safe medication disposal. Medications that are safe for you may be harmful if used by someone else. Unneeded medications should be disposed of as soon as possible. You can dispose of unneeded medications through a local drug disposal program or, for some medications, at home.

Drug take-back sites

A drug take-back site is the best way to safely dispose of medications. To find a drug take-back site in your area, use the Drug Enforcement Administration's search tool and enter your location information.

Many pharmacies and police stations participate in drug take-back programs and may offer on-site drop-off boxes and other safe disposal options. Contact your pharmacy or local police department (non-emergency number) to learn about disposal options available near you.

Mail-back programs

Some pharmacies and medication disposal programs offer pre-paid, pre-addressed envelopes for unused or unwanted medications. Simply place your medications in the envelope, follow the included instructions and mail it to an approved disposal facility. Contact your pharmacy to learn whether mail-back options are available in your area.

At-home disposal

If you can't access a drug take-back site or mail-back program, check the FDA's Flush List to see whether your medication is approved for disposal by flushing. If your medication appears on the list, flushing it is the next best disposal option.

For all other medications, follow these steps to safely dispose of them in the household trash:

Remove medications from their original containers.
Mix medications with an undesirable substance, such as dirt, cat litter or used coffee grounds. Do not crush tablets or capsules.
Place the mixture in a sealed container, such as a plastic bag or empty margarine tub.
Throw the sealed container in your household trash.
Remove or scratch out personal information on prescription labels before disposing of or recycling empty containers.

To learn more about safe medication disposal, including take-back, mail-back, flush and at-home disposal options, visit the FDA's guide to disposing of unused medicines.

How can I get more information about the MTM program?

Please contact us if you would like to schedule your annual comprehensive medication review or if you would like additional information about our MTM program. Our toll-free number is 800-240-3851 (TTY: 711). Our team is available from 8 a.m. to 8 p.m., 7 days a week.

This page was last updated 10/01/2026