Pharmacy Programs

All you need to know about our pharmacy programs


Tiered pharmacy programs

Check with your employer to determine which pharmacy program your plan uses.


Mail-order pharmacy program

Here’s how to get started with the CVS Caremark mail-order pharmacy service:

  • Be sure you have any necessary approvals in place.
  • Call CVS Caremark Customer Service toll free at 1-800-581-5300. If your medication does not need an approval, you will be transferred to CVS Caremark’s FastStartSM service, which will get you started with the mail-order service. You will need the following when you make the call:
    • Your Tufts Health Plan ID card
    • Medication name
    • Your physician’s name and phone number
    • Shipping address
    • Credit card information and expiration date

Once you begin receiving medications by mail, you can order refills easily online or by phone.

CVS Caremark Online Claims Portal

Tufts Health Plan Commercial & Tufts Health Direct members now have even greater flexibility to manage reimbursement for prescription claims. An Online Claims Portal and mobile app are now available in addition to the existing paper claim reimbursement process. Members will have the option of using the current paper claim process or submitting requests for reimbursement of member-paid prescriptions online via Caremark web portal (Caremark.com) and the Caremark mobile app (available for Android and Apple).

Digital claim submission member benefits:

  • Seamless claims submission process for members, dependents or caregivers
  • Paper reimbursement request forms are no longer needed (paper claim process is still available and unchanged for members who do not wish to submit reimbursement requests electronically)
  • Members receive immediate acknowledgment of claim submissions
  • Members have access to view claim status information via the portal

Access the Caremark Online Claims Portal