Get help managing your medications
Security Health Plan offers Medication Therapy Management (MTM) services at no additional charge to Medicare Advantage plan members with Part D coverage who meet Centers for Medicare and Medicaid Services (CMS) criteria. These services are provided in line with CMS guidelines and are not considered a benefit.
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Medication Management Therapy (MTM) services
Security Health Plan's MTM services are provided by specially trained MTM pharmacists. An MTM pharmacist will review all your medications and any over-the-counter and herbal products you use to identify and address medication problems. The MTM pharmacist may help you with the following:
- Medications not being used correctly
- Duplication of medications
- Unnecessary medications
- Medications needed for an untreated or inappropriately managed condition
- Organize your medication schedule
- Lower your risk for harmful drug reactions
- Lower-cost alternatives to your prescriptions, if appropriate, to reduce your out-of-pocket costs
- In-depth, education, consultation and advice provided to patients, family and/or caregivers to help assure proper use of medications
MTM pharmacists review medications being taken for many health conditions, including but not limited to rheumatoid arthritis, osteoporosis, congestive heart failure (CHF), diabetes, high cholesterol, high blood pressure, depression, asthma, chronic lung disorders, chronic obstructive pulmonary disease (COPD), Alzheimer’s disease, end-stage renal disease (ESRD), HIV/AIDS, schizophrenia, bipolar disorder and osteoarthritis.
Eligibility requirements to receive MTM services
General criteria for 2026
- Must have three or more health conditions
- Must take eight or more chronic or maintenance drugs
- Part D costs must exceed $1,276 annually or $319 quarterly
Criteria for at-risk beneficiaries who use opioids from multiple prescribers/pharmacies
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Opioid use with average daily morphine milligram equivalents greater than 90 milligrams for any duration during the most recent six months AND either:
- Must have three or more opioid prescribers AND three or more opioid-dispensing pharmacies
- OR - - Must have five or more opioid prescribers (regardless of the number of opioid-dispensing pharmacies)
- Prescribers within the same practice are counted as a single prescriber
- Pharmacies with multiple locations that share real-time data are counted as one pharmacy
- Must have three or more opioid prescribers AND three or more opioid-dispensing pharmacies
- History of opioid-related overdose:
- A medical claim with a primary diagnosis of an opioid-related overdose within the most recent 12 months
- AND – - A Part D opioid prescription (not including medication-assisted treatment) within the most recent six months
Learn more about the MTM program
If you meet the eligibility criteria noted above, you will be enrolled automatically in Security Health Plan’s MTM program. You will receive a welcome letter and phone call within 60 days inviting you to participate. An MTM pharmacist will call you to complete a comprehensive medication review (CMR). The CMR usually takes 10-15 minutes. After speaking with you, the MTM pharmacist will follow up with your doctor, if necessary and with your permission, to resolve any problems with your medications.
Once you are enrolled in the MTM program, you or your prescriber may also be contacted about a targeted medication review (TMR) if an issue is identified with your medications that requires you or your prescriber's attention. TMR identifications are performed on a quarterly basis.
You will also receive a follow-up letter that includes a written copy of your medication action plan and your personal medication list to keep track of your medications. We encourage you to update this information with your doctors, pharmacists and other health care providers at every visit. You may also want to give copies to your family or caregivers. You can request additional copies by calling Security Health Plan Pharmacy Services at the phone number below. Click the link below to see a blank copy of a personal medication list.
Regardless of which pharmacist performs your medication review, you may continue to use your regular pharmacy to fill your prescriptions.
Getting started is easy
To set up your appointment, simply call Security Health Plan Pharmacy Services at 1-888-651-7543 (TTY 711).H5211_3791_2026_M accepted
Last updated October 1, 2026