If you have more than one long-term health condition, take many medications every day, and have an expensive drug therapy regimen, you might feel like you could use some extra help managing your medications.

UPMC Health Plan’s Medication Therapy Management (MTM) program is available at no cost to you. The program is administered by a team of health care professionals that includes pharmacists, registered nurses, and social workers.

If you meet the criteria below, you are automatically enrolled in the program. You don’t have to do anything. You can disenroll at any time by calling our Pharmacy Clinical Operations Department at 1-866-778-6073 Monday through Friday between 8 a.m. and 4:30 p.m. TTY users should call 711. But the program is very helpful. It includes:

• Monthly medication reviews to look for problems, such as drug interactions, duplications in drug therapy, and gaps in care (care you should have gotten, but did not).
• Letters and phone calls to prescribers to inform them of potential drug-related issues.
• An annual Comprehensive Medication Review (CMR). This is a phone call between you and a pharmacist. The pharmacist will talk to you about your medications and listen to any concerns you have about them. After the CMR, you will receive a medication action plan and personal medication list in the mail. These materials are sent out within a week of the CMR review. Click here to see a blank copy of the personal medication list.

2018
You must meet the following criteria to be eligible for UPMC for Life's MTM program.

• Have three or more of the following 17 chronic diseases: Alzheimer’s disease, Asthma, Cardiovascular disease, Chronic Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Dementia, Dyslipidemia, End Stage Renal Disease (ESRD), HIV/AIDS, Hypertension, Multiple Sclerosis, Osteoporosis, Transplant, Rheumatoid Arthritis, Parkinson's disease, Schizophrenia and must have filled eight or more chronic/maintenance Part D covered drugs within a 90-day period.
• Be likely to incur annual costs that meet or exceed $3,967.00 for all covered Part D drugs. (UPMC estimates that members whose drug costs equal or exceed $991.75 in a 90-day period will have an annual drug cost of at least $3,967.00.)

2019
You must meet the following criteria to be eligible for UPMC for Life's MTM program.

• Have three or more of the following 17 chronic diseases: Alzheimer’s disease, Asthma, Cardiovascular disease, Chronic Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Dementia, Dyslipidemia, End Stage Renal Disease (ESRD), HIV/AIDS, Hypertension, Multiple Sclerosis, Osteoporosis, Transplant, Rheumatoid Arthritis, Parkinson's disease, Schizophrenia and must have filled eight or more chronic/maintenance Part D covered drugs within a 90-day period.
• Be likely to incur annual costs that meet or exceed $4,044.00 for all covered Part D drugs. (UPMC estimates that members whose drug costs equal or exceed $1,011.00 in a 90-day period will have an annual drug cost of at least $4,044.00.)