Pharmacy Overview

Tufts Health Public Plans

We aim to provide high-quality, cost-effective drug options for your Tufts Health Public Plans patients. We work with providers to make sure we cover the most important and useful drugs for all types of conditions and diseases.

You can find information about our pharmacy program for Tufts Health Together (MassHealth accountable care organization and managed care organization plans), Tufts Health RITogether (RIte Care and Rhody Health Partners) and Tufts Health Direct (a focused-network plan for individuals and small groups) below. You can access a drug interaction checker in the Pharmacy section. 

For pharmacy information about Tufts Health Unify (our Medicare-Medicaid One Care  plan for people ages 21 – 64), see our Tufts Health Unify pharmacy program page.

Pharmacy Co-Payments

For information about pharmacy co-payments, deductibles and annual out-of-pocket maximums for Tufts Health Together, Tufts Health RITogether and Tufts Health Direct, see our  medical benefit summary grids. For information about covered pharmacy supplies and members exempt from pharmacy co-payments, please see Tufts Health Public Plans pharmacy co-payments.

There are no pharmacy co-payments, deductibles, or annual out-of-pocket maximums for Tufts Health Unify. For pharmacy information about Tufts Health Unify, see our Tufts Health Unify pharmacy program.

Preferred Drug List

Our Preferred Drug List (PDL) is a tool to promote appropriate and cost-effective prescription drugs for our members. Refer to our PDL to make sure you prescribe your Tufts Health Public Plans patients drugs we cover. Our Pharmacy and Therapeutics Committee reviews and revises our PDL on a quarterly basis to reflect the committee’s prevailing clinical opinion. Each quarter, we include PDL updates in our online newsletter, Provider Update. To receive an email notification for each new issue of Provider Update, please sign up for email updates.

For more information, please download the plan-specific PDL: