Medication Therapy Management (MTM) Program

iCare contracts with OutcomesMTMâ„¢ to offer Medication Therapy Management (MTM) services to all iCare Medicare Plan members and iCare Family Care Partnership members with Medicare. Through OutcomesMTM, specially trained Personal Pharmacists in communities throughout Wisconsin are identified to deliver these services

These pharmacists are qualified to do much more than dispense drugs. They are there to help you get the best results from your medication while keeping out-of-pocket costs down. By using an OutcomesMTM Pharmacist, you get the extra attention you need to keep your medications on the right track.

All iCare Medicare Plan members and iCare Family Care Partnership members with Medicare are eligible for MTM services at no additional cost. Members may be contacted by their Personal Pharmacist face-to-face or by phone. Members eligible for specific MTM services, such as a Comprehensive Medication Review, will be identified at least four times per year through a review of their medication history.

Members who meet the following criteria will be eligible for a Comprehensive Medication Review and will be contacted by iCare through mail:

  • 1. You must have a total drug cost of more than $3,919 a year on medications.
  • 2. You must take 2 or more medications for chronic illness
  • 3. You must have 2 or more of specific chronic diseases: (arthritis, osteoporosis, asthma, chronic obstructive pulmonary disease (COPD), rheumatoid arthritis, chronic heart failure (CHF), depression, diabetes, schizophrenia, high cholesterol, bipolar disorder, high blood pressure, or chronic and disabling mental illness)

Some of the MTM services that may be available to you include:

Comprehensive Medication Review (CMR):
Your OutcomesMTM Pharmacist will meet with you face-to-face or by phone to review all of your medications. This will help identify any duplications or conflicts, as well as help organize your medication schedule. Following the CMR, you will receive a Medication Action Plan and Personal Medication List. You may want to bring those when you talk with your doctors or other health care providers. Click here for a copy of a blank Personal Medication List. The CMR service may take between 30 minutes to one hour.

Prescriber Consultation:

Your OutcomesMTM Pharmacist will talk with you and your doctor(s), face-to-face or by phone, to resolve any problems found with your medications. This service may take between 5 to 15 minutes.

Non-prescription Consultation:

Non-prescription (over-the-counter) drugs can resolve minor illnesses easily and inexpensively. Your OutcomesMTM Pharmacist will help you to treat a variety of conditions by talking with you face-to-face or by phone. This service may take between 5 to 15 minutes.

Drug Information:

When starting a new medication, your OutcomesMTM Pharmacist will:

  • Talk to you about its purpose and correct use.
  • Follow-up to make sure the drug is working right and you are not having any problems.

Getting started is easy. Simply call the Customer Service line at 1-800-777-4376 or TTY/TDD line at 1-800-947-3529 and ask where you can locate OutcomesMTM Pharmacists in your area. Eligible members are able to opt out of the MTM program, as participation is voluntary. Please contact 1-800-777-4376 (TTY/TDD 1-800-947-3529) if you would like to opt out of the MTM program.

Although the MTM program is a special service offered at no cost to our Medicare members, it is not considered a benefit.

Modified: 2/7/2017


More Forms & Publications

Call 1-800-777-4376 (TTY: 1-800-947-3529), from 8:00 a.m to 8:00 p.m.,
7 days-a-week, for further information about iCare.