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.

Tufts Health Plan works with Optum Rx for pharmacy benefit management services. Choose your drug program to find an Optum Rx network pharmacy near you, see what drugs your plan covers, and if you have a deductible for prescriptions, use the Drug Pricing Tool to learn how much your drugs may cost before you reach the annual deductible.

2024 drug programs

Mail-order pharmacy program

Here’s how to get started with the Optum Rx mail-order pharmacy service:

  • Be sure you have any necessary approvals in place.
  • Call Optum Rx Customer Service toll free at 855-258-1561. If your medication does not need an approval, a representative will help you get 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.