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Tufts Health Plan Senior Care Options (SNP)
2021 Formulary (List of Covered Drugs)


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A formulary is an entire list of Part D drugs covered by Tufts Medicare Preferred Senior Care Options.

PLEASE READ: THIS SEARCH TOOL CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN

Note to existing members: This formulary has changed since last year. Please use our search tool to make sure that it still contains the drugs 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 (SNP) formulary, please Click Here or call our Customer Relations department.

All drugs that require Prior Authorization

All drugs that require
Step Therapy Prior Authorization

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.

In addition to the MassHealth Standard (Medicaid) OTC Drug List, Tufts Health Plan Senior Care Options provides coverage for the following drugs under your Medicare benefit:

  • Benzonatate
  • Chondroitin/MSM
  • Coenzyme – Q10
  • Fexofenadine
  • Fleet Prep kits (w/o enema)
  • Glucosamine/Chondroitin/MSM
  • Glucosamine/MSM
  • Magnesium Citrate
  • Methylsulfonylmethane (MSM)
  • Mucinex 600mg
  • Omega 3/Fish Oil
  • Robitussin Cough + Chest Congestion DM (liquid)

You may search the Formulary in several ways:

  • 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.
Please Note:  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 shown.

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Therapeutic Class Search Skip to Footer

  • Anti-Infectives And Infectious Disease
  • Blood Modifying Agents
  • Cancer Drugs
  • Cardiovascular Agents
  • Diabetes Mellitus
  • Ear, Nose And Throat
  • Eye
  • Gastrointestinal Drugs
  • Home Infusion Therapy
  • Hormones
  • Immunologic Agents
  • Miscellaneous Drugs
  • Neurological Drugs
  • Pain And Inflammatory Diseases
  • Psychiatric
  • Respiratory Drugs
  • Skin
  • Women's Health
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Formulary Id: 21576
Formulary Effective Date: 12/01/2021
Updated:
12/2021
CMS Version:
21
CMS Marketing Materials Id:
H2256

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