Medication Therapy Management (MTM) is a Medicare designed program sponsored by Humana’s RxMentor program.
By participating in the program we want to help you get the best results from all of the medications you're taking. When you talk to a trained provider they can help you make sure your medications are working for you, may help you find lower cost options, and answer any questions you may have about your medications.
If you're like many of Humana's members, you're taking multiple medicines prescribed by more than one doctor. You could also be taking medicines that, when combined, may:
As part of your Medicare Part D coverage with Humana, you can set up a one-on-one review of your medicines with a pharmacist. This review is called a comprehensive medication review (CMR) and is offered at no extra cost to you. Once enrolled in the program, you or your prescriber may be contacted about a targeted medication review (TMR) if a pharmacist identifies an issue that needs attention after the CMR. If the MTM provider finds and issue during a CMR or a TMR that requires your prescriber's attention they may receive a telephone call or a fax from the MTM provider.
Humana determines eligibility quarterly, by looking at your medication claims information. Once you qualify, you remain in the program for the rest of the calendar year. You will have to re-qualify for the next calendar year.1 In order to qualify for the MTM program, you must meet all three of the following criteria:
Once eligible, you will be auto-enrolled and will receive notification within 60 days inviting you participate in the program.2
Once enrolled, you can visit any participating pharmacy for an in-person consultation or call Humana directly to be put in touch with a MTM Provider who can perform your consultation over the phone.
You may also call us at 1-888-686-4486 (TTY: 711). Representatives are available Monday through Friday, 8 a.m. to 7 p.m. EST. Although the MTM program is a special service offered at no cost to Medicare members, it is not considered a benefit.
Humana also works with other health organizations to provide MTM services on our behalf and one of these organizations may contact you about completing a Comprehensive Medication Review or other MTM services.
Partner organizations: Aspen RxHealth; Patient Engagement Team- OutcomesMTM; CHC Health; MedWatchers, Enhanced Medication Services.
Each consultation takes about 15 minutes to complete but can range from about 10 to 30 minutes.
Medication Therapy Management (MTM), is not part of a prescription drug benefit but is a CMS designed program.
For your convenience, a blank medication list may be printed by clicking the attachment below. Please use the form to keep track of all your prescriptions and over-the-counter medications.
Printable Personal Medication List