Medication Therapy Management (MTM)
One-on-one help from a pharmacist to get the most from your meds
Medication Therapy Management (MTM) is especially helpful if you have multiple chronic health conditions, take several medications multiple times per day or have high prescription costs or multiple prescribers.
Two types of medication reviews
These one-on-one visits give you personalized, expert help to ensure your medicines are doing the most for you and fit within your lifestyle. It’s an opportunity to get your questions answered and can be completed over the phone*, through interactive video or in person.
Comprehensive Medication Review
A full medication review annually by an appointment with a pharmacist lasting 20 – 60 minutes. The review ensures that there are no drug interactions, that medications are being taken as intended and that the medications are as convenient and economical as possible to achieve your health goals. Your pharmacist may provide you with a personalized medication list, medication action plan and cover letter after the visit. The pharmacist also will work directly with your doctor to address any medication-related concerns and update your prescriptions, if necessary.
Targeted Medication Review
Your pharmacist may recommend an ongoing (quarterly) targeted review of medications for specific issues. Your time commitment is minimal, and the pharmacist may mail or fax information to your health care provider if needed.
*Telephonic visits are acceptable for MinnesotaCare (MnCare) and Medical Assistance (Medicaid) members only during the COVID-19 emergency order.
You may be automatically enrolled
Members of UCare Medicare plans with a Part D component, UCare’s Minnesota Senior Health Options (MSHO) (HMO D-SNP) and UCare Connect + Medicare (HMO D-SNP) are automatically enrolled if:
- You take eight or more prescribed or over-the-counter medications for chronic condition(s)
- And you have at least three chronic health problems, including Asthma*, Diabetes, Dyslipidemia (high cholesterol), Chronic Heart Failure, Chronic Obstructive Pulmonary Disease (COPD), Hypertension*, Osteoporosis* or Rheumatoid Arthritis
- And you plan to spend at least $4,696 in 2022 on your Part D medications
If you are automatically enrolled for a medication review, you will get a letter from UCare with next steps. You may also receive phone calls with more information about MTM services.
*Only applies to EssentiaCare Medicare members.
Pharmacists are medication experts who understand how all of the different drugs and supplements work together. Multiple doctors may prescribe medications without knowing all of the prescription drugs or over-the-counter medications that you take. Your pharmacist will review everything to help you feel confident you are using all your medications safely and effectively. They will also answer many types of questions including:
- Why am I taking these medicines?
- What time of day should I take my medicines?
- Are there any drug-interactions that I should know about?
- Are my medicines working?
- Are they still indicated for my condition(s)?
- Am I experiencing side effects?
- My prescriptions are expensive, are there ways I can save money?
UCare pharmacists provide an average of five recommendations per visit to improve your medication regimen.
UCare Medicare members with prescription drug coverage, including EssentiaCare plans, and MSHO and Connect + Medicare members are eligible for MTM services through a UCare or in-network pharmacist.
UCare Prepaid Medical Assistance Program (PMAP), MinnesotaCare (MnCare), Minnesota Senior Care Plus (MSC+) and Connect (SNBC) members who are outpatient and taking prescriptions to treat or prevent one or more chronic medical condition are eligible for MTM services through an in-network pharmacist.
UCare Individual & Family Plan members are eligible for MTM services through an in-network pharmacist.
No, completing a visit will not affect your prescription coverage. Your medications will continue to be covered based on the UCare drug list (formulary).
Members with a UCare Medicare plan with a Part D component, MSHO or UCare Connect + Medicare plan can schedule an appointment at no additional cost with either a UCare pharmacist or an in-network pharmacist associated with your doctor’s office. A UCare pharmacist may contact you to review your medications if you were recently in the hospital.
UCare members with other Minnesota Health Care Programs and Individual & Family Plans can request MTM services from an in-network pharmacist at their local health system clinic, if available, at no additional cost. In some cases, your doctor may also refer you to meet with a pharmacist for a medication review.
Some community pharmacies (Walgreens, CVS, Thrifty White, etc.) provide medication reviews for a cash fee but these are not currently covered by your UCare health plan.
Appointments with a UCare pharmacist, should be made through your UCare plan’s Customer Service de-complicator.
You can reach out directly to your provider to schedule an appointment with an in-network pharmacist. For example, UCare Individual & Family Plan with M Health Fairview members should contact a pharmacist through the M Health Fairview network for MTM services. Or contact UCare Customer Service at the number on the back of your member ID card to find an in-network pharmacist.
No, the purpose of a Comprehensive Medication Review is to help you get the most out of your medications. Occasionally, a pharmacist may identify other options based on safety, efficacy or cost, but there is no obligation to change any medications. Our pharmacists can reach out to your provider for you or give you more information for your next visit with your primary care provider.
No, our pharmacists work with your providers to help you get the best possible medication regimen. Many doctors recommend and refer their patients for medication reviews.
Eligible members receive annual Comprehensive Medication Reviews and Targeted Medication Reviews at no additional cost.
Additional resourcesBlank personal medication list (PDF)
UCare drug list/formulary
UCare pharmacy search
UCare Medication Toolkit
UCare's COVID-19 resources