To do that, we work with your providers and pharmacists to make sure we cover the most important and useful drugs for a variety of conditions.
To quickly find out if we cover a specific drug, look it up in our List of Covered Drugs, also called the Drug List. We update the Drug List every month. We also cover some over-the-counter (OTC) drugs with a doctor’s prescription. Covered drugs are free. The Drug List applies only to drugs you get at retail, Optum Rx Home Delivery and specialty pharmacies. If you are in the hospital, you may get drugs covered that are not on the Drug List.
Some drugs in our List of Covered Drugs require prior authorization and/or step therapy. For more information, please see:
In-network large-chain or independent pharmacies can fill your prescription. You can use our search tool to find a pharmacy near you.
Call us toll-free at 1-855-393-3154 (TTY: 711)
Tufts Health One Care is a Dual Special Needs Plan (D-SNP) health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees. Enrollment in the plan depends on the plan’s contract renewal with Medicare.
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook (2026).
If you speak Spanish, language assistance services, free of charge, are available to you. Call 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m. (Please note: Our hours shift to Monday through Friday, from April 1 through September 30). The call is free.
Si habla español, tiene disponible los servicios de asistencia de idioma gratis. Llame al 1-855-393-3154 (TTY: 711), siete días de la semana, de 8 a.m. a 8 p.m. (Ten en cuenta lo siguiente: Del 1 de abril al 30 de septiembre, nuestro horario pasa a ser de lunes a viernes). La llamada es gratuita.
You can get this document for free in other formats, such as large print, formats that work with screen reader technology, braille, or audio. Call 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m. (Please note: Our hours shift to Monday through Friday, from April 1 through September 30). The call is free.
The List of Covered Drugs and/or pharmacy and provider networks may change from time to time throughout the year. We will send you a notice before we make a change that affects you.
Benefits may change on January 1 of each year.
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