Pharmacy Formularies

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

2023 formularies 

For coverage dates starting 01/01/2023, please refer to the following lists.

• Value 3-Tier: Searchable List | PDF
• Value 4-Tier: Searchable List | PDF
• Premium 3-Tier: Searchable List | PDF
• Premium 4-Tier: Searchable List | PDF

2022 formularies 

For coverage dates starting 01/01/2022, please refer to the following lists.
Please note, CVS Caremark was our pharmacy benefit manager through 12/31/2022.

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