Medication Therapy Management (MTM) Provider Information

The University of Minnesota UPlan Medical Program (UPlan) invites pharmacists to join the UPlan/MedEdgeRx MTM Provider Network to provide medication therapy management services to eligible University employees and their dependents and to state employees and their eligible dependents participating in the State of Minnesota SEGIP (State Employee Group Insurance Plan) Diabetes MTM Program. 

MTM providers are needed throughout the state of Minnesota.

Pharmacist Eligibility

Pharmacists are eligible to become MTM providers in the UPlan/MedEdgeRx network if they graduated during or after 1996, or have completed an approved continuing education course. Pharmacists must be licensed in their state of practice

Current approved programs: 

Pharmaceutical Care Training through the U of M, COP

  • The College of Pharmacy offers a 3-level course focusing on key foundational concepts of the practice of pharmaceutical care, application of these concepts and practicing pharmaceutical care on patients. Each level is certified by DHS for Continuing Pharmacy Education contact hours. Check the website for details:

APhA Training through MPhA

  • APhA’s “Delivering Medication Therapy Management Services” certificate training is offered twice each year.

Application to Join the UPlan/MedEdgeRx MTM Provider Network

UPlan/MedEdgeRx MTM Provider Application (pdf)

In addition to completing the application, each pharmacist is required to submit:

  • Copy of current state pharmacist license 
  • Copy of diploma 
  • Current resume/CV

Use the supplemental form for additional practice sites and return with the application.

Supplemental Application Form (pdf)

Information for Network Provider, UPlan

University of Minnesota UPlan MTM Program

UPlan Member Eligibility

UPlan members are eligible to participate in MTM services if they are (1) currently taking four or more UPlan-covered prescription and over-the-counter medications for chronic conditions or (2) referred by their physician or (3) have a diagnosis of diabetes, regardless of number of medications. A physician referral request form is available below.

Referral Request for Medication Therapy Management Services (pdf)

UPlan Wellbeing Program

UPlan members who participate in the MTM program have the opportunity to earn wellness points in the UPlan's Wellbeing Program. These points can be used toward a reduction on annual medical rates.

UPlan Formulary

Prime Therapeutics LLC is the Pharmacy Benefit Manager for UPlan prescription claims. Pharmacists enrolled as providers in the UPlan MTM Network should consult the UPlan drug formulary when making recommendations for changes in a patient's medication therapy. The current University of Minnesota UPlan Formulary (pdf) lists the medications that are covered by the program.

UPlan Prior Authorization (PA) and Step Therapy (ST) Information

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State Employee Group Insurance Plan (SEGIP) Advantage Value for Diabetes Benefit

The UPlan/MedEdgeRx MTM network provides MTM services to SEGIP Advantage Plan members.  Adult (18+) SEGIP Advantage Plan members (whether active participant, dependent, early retiree, or former employee who has continued coverage (FEWD, COBRA)) are eligible if they have been diagnosed with Type I or Type II diabetes.  Advantage Consumer Directed Health Plan (High-Deductible) members are not eligible.  
 

Information for Network Provider, UPlan

Program Contacts

Julie Balthazor
MTM Benefit Program Coordinator 
balt0012@umn.edu
612-625-0001

Office location:
B288 Mayo Memorial Building
420 Delaware Street S.E.
Minneapolis, MN 55455

Mailing address:
7-159 WDH 
308 Harvard Street S.E.
Minneapolis, MN 55455 

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