Medication Therapy Management Program

Many Humana-covered patients take multiple medications prescribed by more than one prescriber. Having multiple medications and prescribers increases the risks of drug-to-drug interactions and potential side effects. As part of Humana’s Medication Therapy Management (MTM) program, eligible Medicare patients can have a face-to-face or telephonic consultation with a qualified health care professional. The goal of this program is to optimize therapeutic outcomes by focusing on safety, effectiveness, lower-cost alternatives and adherence.

Patients:

  • Gain a better understanding of their medications.
  • Benefit from one-on-one time with a qualified health care professional.
  • Receive recommendations for treatment alternatives, if applicable.

Prescribers are notified of medication therapy change recommendations by fax. Prescribers who accept the recommendations should submit new prescriptions to the patient’s pharmacy or talk to their patients about discontinuing medications, if appropriate.

Program eligibility

Patients who meet predetermined eligibility requirements may qualify for the MTM program. Once a Medicare patient becomes eligible for MTM, the patient will receive notification of his/her eligibility and an offer to schedule a consultation with a qualified health care professional. During the one-on-one consultations, the qualified health care professional will discuss the patient’s medications and explore cost-savings opportunities.

Consultations may include the following topics:

  • Medication adherence
  • Medication safety (possible adverse reactions from taking multiple medications together, potential drug-to-drug interactions, etc.)
  • Medication drug information
  • Gaps in medication therapies
  • Possible medication alternatives
Prescribers with questions about the program may call 1-888-210-8622, Monday through Friday from 8 a.m. to 6 p.m. Eastern time. Prescribers in Puerto Rico with questions about the program may call 1-877-384-5282, Monday through Friday from 8 a.m. to 6 p.m. local time.