Pharmacy

We aim to provide high-quality, cost-effective options for drug therapy.

We work with your providers and pharmacists to make sure we cover the most important and useful drugs for a variety of conditions and diseases. Covered drugs are free.

What drugs are covered?

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. The Drug List applies only to drugs you get at retail and specialty pharmacies. If you are in the hospital, you may get covered drugs that are not on the Drug List. We cover first-time prescriptions and refills. We also cover some over-the-counter (OTC) drugs with a doctor’s prescription.

Some drugs in our List of Covered Drugs require prior authorization and/or step therapy. For more information, please see:

2020

• List of Covered Drugs
• Prior Authorization Requirements
• Step-Therapy Requirements

Where can I fill prescriptions?

Large-chain or independent pharmacies can fill your prescription. You can use our Find a Doctor, Hospital or Pharmacy tool to find a pharmacy near you.

Want to know more?

• Explanation of Benefits (EOB)
• Medication Therapy Management
• Mail Order Prescriptions

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 Tufts Health Unify Member Handbook 2020.

Limitations and restrictions may apply. For more information, call Tufts Health Unify member services or read the Tufts Health Unify Member Handbook 2020.

Benefits, the List of Covered Drugs and pharmacy and provider networks may change from time to time throughout the year and on Jan. 1 of each year.

If you need a Member Handbook or the List of Covered Drugs in an alternative format, please call us toll-free at 855.393.3154 (TTY:711), seven days a week, from 8 a.m. to 8 p.m. We will do our best to accommodate your request. 
 

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H7419_4520_CMS Approved
Page modified on: 4/25/2018 2:06:30 PM