OneCare (HMO D-SNP)

Medication Therapy Management

Or Medicine Review Program

We can help you stay healthy with the Medication Therapy Management (MTM) Program. It is also known as the Medicine Review Program. This program gives you the tools you need to get the most from your medicines. We offer the MTM Program to members of OneCare (HMO D-SNP), a Medicare Medi-Cal Plan at no cost.

The MTM Program is for members who are at a high risk of having adverse effects from the medicines they take. Through the MTM Program, you can talk to one of our pharmacists at no cost. Our pharmacists teach you how to take your medicines in a safe and proper way. Taking your medicines the correct way can help prevent side effects. It can also lower your out-of-pocket costs.

Comprehensive Medication Reviews

As part of the MTM Program, a pharmacist does a comprehensive medication review (CMR) with you. Your CMR can be done in person or over the phone. Your CMR may take 30 to 60 minutes to complete.

During your CMR, the pharmacist looks at:

  • Why you are taking each of your medicines
  • If your medicines are working for you
  • If your medicines are causing any side effects or making you sick
  • If your medicines are affecting each other, foods or over-the-counter medicines
  • If there are ways to lower the number of medicines you are taking

After meeting with a pharmacist, we will mail you a letter with:

  • A Recommended To-Do List from your CMR and the steps to help you take your medicines safely
  • A Medication List that shows all your medicines, how to take them and why you take them
Document with arrow pointing down icon

Medication List Download PDF Icon Download the blank form to track other medicines or update your list.

Targeted Medication Reviews

Pharmacists perform targeted medication reviews (TMR) at least once every 3 months. The pharmacist reviews your medicines and will contact your doctor if there are ways to improve your medicines or if there are safety issues.

MTM Eligibility Requirement

Once a quarter, we select members to take part in the MTM Program. If you are in one or more of the groups below, we will mail you a letter to let you know we have enrolled you in the MTM Program. The letter will also include information about how to safely dispose of unused prescription medicines.

Group 1: You are chosen for the MTM Program if A, B and C apply to you:

A. You receive medicines for 3 or more of the following conditions:

  • Diabetes
  • Asthma
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Hypertension or high blood pressure
  • Dyslipidemia or high cholesterol
  • End-Stage Renal Disease (ESRD) – determined from a prescription claim or diagnosis

B. You are taking 8 or more medicines through OneCare per quarter

C. You will likely exceed $4,935 in medicine costs per year

Group 2: You are chosen for the MTM Program if:

1. It is determined that you are at high risk of having an adverse event or overdose due to your total opioid dose from multiple prescribers or pharmacies.

2. You have a recent history of opioid-related overdose.

If you have any questions or do not want to be part of this program and wish to opt out, call OneCare Customer Service at 1-877-412-2734 (TTY 711), 24 hours a day, 7 days a week. We have staff who speak your language.

How To Get Rid of Unused, Unneeded or Expired Medicines

You should dispose of unused or expired medicines as soon as possible. Storing unneeded medicines at home can be a risk for others who may take them by mistake or abuse them.

The best way to dispose of medicines is through a take back program or a site that will safely and securely dispose of them.

When a take back option is not available, two options for disposing medicines at home include flushing down the toilet or throwing away in household trash.

        1. Remove the medicine from the container.
        2. Mix the medicine with coffee grounds, dirt or cat litter.
        3. Place the mixture in a sealed bag and throw it away in the trash.
        4. Remove all personal information on the label of the empty medicine container.

To learn more about how to safely dispose of medicines, visit www.hhs.gov/opioids/prevention/safely-dispose-drugs/index.html.

Be sure to review all your medicines with your doctor or pharmacist often. Discard medicines as soon as you no longer need them.

Health Updates

Read the letters that are mailed to you once a quarter. These letters include updates on different health topics.

November 2022: Protect Yourself and Others from the Flu 

August 2022: Get Your Lab Tests Done! 

June 2022: Medicines That Can Increase Your Fall Risk 

February 2022: What is a Statin? Who Needs It? 

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To file a complaint with Medicare, click on the following link to complete a complaint form on the Medicare website: Medicare Complaint Form.

H5433_23WEB001_2023_A (Accepted 9/20/2022)

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