Medication Therapy Management Program
As part of the UnitedHealthcare family of plans, RMHP works with closely with UnitedHealthcare. Eligible RMHP Members can participate in UnitedHealthcare's Medication Therapy Management (MTM) program. This program helps qualifying Members understand their coverage and how to use their medications. It can also help identify possible risks of side effects and potentially harmful drug combinations. There is no cost to this program.
Members will automatically be enrolled in the MTM program if you:
- take eight (8) or more chronic Part D medications, and
- have three (3) or more long-term chronic conditions, and
- might spend more than $4,376 a year on covered Part D medications
Below is a list of health conditions that may make you eligible for the Medication Therapy Management program. You need to have three or more of these conditions to qualify for this program.
- Hyperlipidemia – High Cholesterol
- Chronic Heart Failure – Heart Failure
- Chronic Obstructive Pulmonary Disease
Within 60 days of becoming eligible, you'll receive an offer by mail or phone to complete a Comprehensive Medication Review (CMR).
You can complete the CMR by phone or in person with a qualified health care provider. It takes about 30 minutes. A pharmacist, or qualified CMR provider, will review your medication history, including prescription and over-the-counter medications, and look for any issues.
Within 14 days of the CMR, you'll receive a Medication Action Plan. It summarizes any clinical concerns and a Personal Medication List of your medication history. This can be helpful when meeting with your doctor or pharmacist. The results may also be sent to your doctor.
In addition to the CMR, Targeted Medication Reviews are completed at least quarterly. These reviews are done to find any drug-to-drug interactions or other medication concerns and will be sent to your doctor. The MTM program is not a plan benefit. For more information about the MTM program, contact RMHP Customer Service at 800-346-4643.
Download a Personal Medication List.