Pharmacy Formularies

Use the links below to confirm whether or not a specific drug is on our list of covered drugs.

2021 formularies 

For coverage dates starting 01/01/2021, please refer to the following lists.

Individual and small group formularies

• Massachusetts 3-tier Drug List: PDF | searchable list
• Massachusetts 4-tier Drug List: PDF | searchable list
• Rhode Island 4-tier Drug List: PDF | searchable list

Large group formularies

• Massachusetts 3-tier Formulary
• Massachusetts 4-tier Formulary
• Rhode Island 3-tier Formulary
• Rhode Island 4-tier Formulary