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What is the Medication Therapy Management program?

Working to ensure the safety and effectiveness of your medications

Working to ensure the safety and effectiveness of your medications

Our Medication Therapy Management (MTM)* program helps you and your doctor manage your medicines. If you qualify, you’ll be automatically signed up for the MTM program. Read on to learn more about how much it costs, how to qualify and how the program works.

If you qualify for the program, a pharmacist will review your drugs. They can then talk with you about:
 

  • How to get the most benefit from the drugs you take
  • Any side effects or reactions
  • Any questions or concerns you have
  • Options that may help you save money

We automatically enroll members in our MTM programs if you qualify. Participation is voluntary. You can opt out of the program at any time.

What part of Medicare covers MTM programs?

What part of Medicare covers MTM programs?

Medication Therapy Management is covered by Medicare Part D. With this coverage, you can get one of our pharmacists to review your medications. This is called a comprehensive medication review. If this review finds a problem, you may get a targeted medication review next to explore the issue further.

 

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What do MTM programs cost?

 

There's no added cost to be in our MTM program.

 

You qualify for our MTM program if you:

 

  1. Have three or more of these conditions:
    • Respiratory disease
      • Chronic obstructive pulmonary disease (COPD)
      • Asthma
      • Chronic lung disorder
    • Bone disease
      • Osteoporosis
      • Osteoarthritis
      • Rheumatoid arthritis
    • Chronic heart failure (CHF)
    • Diabetes
    • Dyslipidemia
    • Hypertension
    • Alzheimer’s disease
    • End stage renal disease (ESRD)
    • Mental health
      • Schizophrenia
      • Depression
      • Bipolar disorder
      • Disabling mental health conditions
    • HIV/AIDS
  2. Are likely to spend more than $1,623 in 2025 on prescription drug costs (includes amounts paid by both you and the plan)
  3. Take eight or more maintenance drugs that are covered by your Medicare Part D plan

    OR
  4. Are an at-risk beneficiary (ARB) under a Drug Management Program (DMP)

 

What happens if I qualify for the MTM program?

 

If you meet all of these criteria, we'll mail you a letter confirming your enrollment in our MTM program. You'll also get a call from us.

 

To leave the program, call 1-855-905-4689 ${tty}, Monday through Friday, from 8 AM to 7 PM CT.
 



See a sample 2025 MTM enrollment letter

 

See a sample 2025 MTM enrollment letter (Spanish)

Once in the program, you’re offered a comprehensive medication review. It includes several steps:

 

  1. A health care provider reviews all of your medications. They will look to see if there are any drug therapy issues.
  2. If needed, the health care provider will work with your doctor to resolve any issues.
  3. The health care provider will talk with you over the phone or in person at your local pharmacy. They'll review your current drugs (both prescription and over-the-counter) and your medical conditions. This will take about 30 minutes.
  4. The health care provider will give you a drug list and a recommended to-do list to help you manage your medicine. Be sure to share this information with your doctor.

 

How to safely dispose of drugs

Drugs that are safe for you may be harmful to someone else. You should dispose of unused and expired drugs as soon as possible. You can discard your unused, unwanted or expired drugs through a community safe disposal program. Some drugs are safe to discard at home.

 

Locating a community safe drug disposal site

The best way to safely dispose of your drugs is at a drug take-back site. Find a drug take-back site near you.

 

You can also call your pharmacy or local law enforcement for a safe drug disposal site near you. (Call the non-emergency number.) Some pharmacies have medicine drop-off boxes, mail-back programs, and other ways to help you safely dispose of your unused drugs.

 

Mailing medications to drug disposal sites

The United States Drug Enforcement Administration allows you to mail prescription drugs back to select pharmacies or authorized sites using approved packages. You’ll find details about these sites at DEATakeBack.com.

 

Safe at-home medication disposal

You can safely dispose of many drugs at home through household trash or by flushing them down the toilet. Find the best way to dispose of your drugs.

 

If you are disposing drugs in household trash, follow these recommendations:
 

  • Remove medication labels to protect your personal information
  • Mix medications with undesirable substances, such as dirt or used coffee grounds
  • Place mixture in a sealed container, such as an empty margarine tub

See a sample 2025 medication list
 

See a sample 2025 medication list (Spanish)
 

See a sample recommended to-do list 2025
 

See a sample recommended to-do list 2025 (Spanish)


We’ll complete a targeted medication review (TMR) at least once every three months. After each review, we may send suggestions to your doctor about prescriptions that may be a safer or better alternative. As always, your doctor will decide whether to consider our suggestions. Your prescriptions won’t change unless you and your doctor decide to change them.

 

Need more information?

Call 1-855-905-4689 ${tty}, Monday through Friday, from 8 AM to 7 PM CT.

Disclaimers

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area. Participating health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. Out-of-network/non-contracted providers are under no obligation to treat plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year.

Aetna Medicare's pharmacy network includes limited lower cost preferred pharmacies in: Urban and Rural Michigan, Rural Nebraska, Rural Maine, Suburban Illinois, Suburban South Carolina. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use.

For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at https://www.aetnamedicare.com/pharmacyhelp.

This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs.

 
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