Medicare Preferred Senior Care Options (HMO SNP)
2022 Formulary (List of Covered Drugs)
formulary is an entire list of Part D drugs covered by Tufts Health Plan Senior
Care Options (HMO SNP).
PLEASE READ: THIS SEARCH TOOL CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN
Note to existing members: This
formulary has changed since last year. Please use our search tool to make sure
that it still contains the drug(s) you take. While the formulary may
change throughout the year, in general, if you are taking a drug on our
formulary that was covered at the beginning of the year, we will not
discontinue or reduce coverage of the drug during the year. If we remove
a drug from our formulary, add any restrictions, or move a drug to a higher
cost-sharing tier, we must notify affected members of the change at least 60
days before the change becomes effective.
For a listing of all the drugs covered
on the Tufts Health Plan Senior Care Options (HMO SNP) formulary, please Click Here or call our
Customer Relations department.
requiring Prior Authorization
Drugs requiring Step TherapyPrior
MassHealth OTC drug list
Tufts Health Plan Medicare Preferred covers both brand name drugs and generic
drugs. A generic drug is approved by the FDA as having the same active
ingredient as the brand name drug. Generally, generic drugs cost less than
brand name drugs.
How to request an exception if your
drug requires prior authorization, step therapy, has a quantity limit, or is
not on the formulary Click Here
may search the Formulary in several ways:
If you enter the brand name of a drug and the generic name is displayed, the
brand drug is Not Covered, but the equivalent generic is covered on the tier displayed.
- Use the
alphabetical list to search by the first letter of your medication.
- Search by typing
part of the generic (chemical) or brand (trade) name.
- Search by the
therapeutic class of your medication.