Tufts Health Together
Preferred Drug List (PDL)
The PDL is a tool to promote appropriate and cost-effective prescription drugs for Tufts Health Together 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 quarterly 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.
Visit the Pharmacy Updates page to find monthly pharmacy updates for Tufts Health Public Plans members.
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 Together 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.
Over-the-Counter (OTC) Drug List
Tufts Health Together's pharmacy benefit covers select OTC drugs for members. If your patient needs a covered OTC drug, write a prescription that your patient can fill at a pharmacy at no cost, or with only a small copayment.
Visit the Pharmacy Copayments page for more information.