Medication Therapy Management

Upper Peninsula Health Plan (UPHP) MI Health Link (Medicare-Medicaid Plan) has our Pharmacy Benefit Manager, Prime Therapeutics, administer our Medication Therapy Management Program (MTMP). The Calendar Year 2025 (CY2025) MTMP offered to beneficiaries and prescriber’s is structured to meet both Centers for Medicare and Medicaid (CMS) compliance and the intent of the CMS MTMP, providing value driven health care for Medicare Part D beneficiaries.

This program is not considered a benefit; it is a free service for all eligible beneficiaries. If a beneficiary does not wish to participate or wishes to stop participating in the program, the beneficiary must opt-out. This is done by contacting UPHP Customer Service at the number listed below. UPHP Customer Service representatives will be prepared to answer questions about the MTMP.

For any questions, beneficiaries wishing to obtain additional information, or to opt-out of the program, call your Care Coordinator or UPHP Medication Therapy Management Department at 1-877- 349-9324 (TTY: 711), Monday through Friday from 8 a.m. to 9 p.m. Eastern Time. The call is free. Beneficiaries or authorized individuals may also contact UPHP’s MTM Department at our Pharmacy Benefit Manager, Prime Therapeutics, directly at 1-800-424-9340 (TTY: 711) between the hours of 9 a.m. to 5 p.m. Eastern Time, Monday through Friday.

Read the documents below for additional information:

• Medication Therapy Management Program (MTMP)
• Blank Personal Medication List