Medication Therapy Management (MTM)
One-on-one help to get the most from your meds
Members with prescription drug coverage are eligible for a review of all of your medications, including prescriptions, over-the-counter and herbal supplements. Specially trained Aspirus Health Plan pharmacists will review your medications to ensure they are safe, effective, affordable and easy to use — at no additional cost to you.
Medication Therapy Management (MTM) is especially helpful if you have multiple chronic health conditions, take several medications multiple times per day, 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.
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 Aspirus Health Plan pharmacist will 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.
You may be automatically enrolled
Aspirus Health Plan members with a Part D component are automatically enrolled if:
- You take eight or more prescribed or maintenance medications for chronic condition(s)
- You have at least three chronic health problems, including diabetes, dyslipidemia (high cholesterol), chronic heart failure (CHF), chronic obstructive pulmonary disease (COPD), or rheumatoid arthritis
- You plan to spend at least $5,330 in 2024 on your Part D medications
- You are considered at risk for misuse of certain frequently abused prescription drugs determined by us or your previous plan
If you are automatically enrolled for a medication review, you will get a letter from Aspirus with next steps. You may also receive phone calls with more information about MTM services. Participation is voluntary and you can opt out of the MTM program or any individual MTM service at any time by calling 715.631.7444.
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?
Aspirus Health Plan members with prescription drug coverage are eligible for MTM services with an Aspirus Health Plan pharmacist.
No, completing a visit will not affect your prescription coverage. Your medications will continue to be covered based on the Aspirus Health Plan drug list (formulary).
To schedule an appointment with an Aspirus Health Plan pharmacist, call 715.631.7444 or toll free at 1.855.931.5266 (TTY 1.855.931.4852). Hours of operation are 8 am – 4 pm, Monday – Friday.
No, the purpose of a comprehensive medication review is 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 you next appointment 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.
Members with a Part D component receive annual comprehensive medication reviews and targeted medication reviews at no additional cost.