Tufts Health RITogether

Preferred Drug List (PDL)

The PDL is a tool to promote appropriate and cost-effective prescription drugs for Tufts Health RITogether members. Providers should refer to the PDL to confirm the drugs being prescribed to patients are covered by Tufts Health Plan. The Pharmacy and Therapeutics Committee reviews and revises the PDL on a monthly basis to reflect the committee’s prevailing clinical opinion. Each quarter, PDL updates are included in Provider Update. To register to receive Provider Update by email, complete the online registration form.

Pharmacy Copayments

There are no pharmacy copayments, deductibles or annual out-of-pocket maximums for Tufts Health RITogether. This is a fixed amount members have to pay for a covered service.

See the medical benefit summary grids for details about pharmacy copayments, deductibles and annual out-of-pocket maximum amounts for each product.

Medication Request Forms

Some drugs require prior authorization. To request a drug authorization for a Tufts Health Public Plans patient, fax the appropriate medication request form.

For Tufts Health RITogether members, requests are reviewed and initial determinations regarding prior authorizations are made within 24 hours of receiving complete medical information. Once a decision is made, Tufts Health Plan will notify providers by fax within the 24-hour period, or by mail if no fax is available.

Pharmacy Updates

Visit the Pharmacy Updates page to find monthly pharmacy updates for Tufts Health Public Plans members.