Pharmacy Benefits
Make the most of your Pharmacy Benefits.
As a Mass Advantage member, you have ready access to a wide range of affordable and effective treatments that may include prescription medications.
Whatever your regimen, no matter how complicated—we’re here to ensure your medicines work well for you. We want your medications to be easy to fill, work safely together, and provide the best therapeutic benefit for you.
That’s why you also have options and alternatives should you need a drug that’s not in our formulary. And our over-the-counter program offers you savings on—and convenient access to—products available without a prescription.
List of Covered Drugs
All of your prescription details are right here.
Find a Pharmacy
Most local pharmacies accept Mass Advantage, including the major chains like CVS and Walgreens, as well as smaller independent pharmacies. Let’s find a convenient one that works best for you.
Coverage Determination, Appeals and Grievances
Coverage for some drugs may require permission in advance—called Coverage Determination. You can also request a decision be reviewed—called an Appeal. Find information here on coverage determinations, appeals, and grievances.
And a spoonful of sugar...
We also offer extra savings and services to help you get your medications easily and affordably, and take them safely.
Mail Order
Skip the line at the pharmacy and fill your maintenance prescription drugs with one of the mail order pharmacies in our network.
Transition Refills
As a new or continuing member of Mass Advantage, you may require a transition refill. Transition refills let you get temporary coverage for drugs that are not on your plan’s formulary or that have certain coverage restrictions (such as prior authorization or step therapy).
Medicare Prescription Payment Plan
Looking to spread out your Part D prescription drug costs over the course of the year?
Medication Therapy Management (MTM)
Taking a lot of medications? You may be eligible for our MTM program. If you qualify, we will reach out to you to complete a comprehensive medication review and more.
Questions?
We’re here to help.
HMO: (844) 918-0114
PPO: (844) 915-0234
TTY: 711
From October 1 to March 31, we’re available 7 days a week from 8 am to 8 pm EST. From April 1 to September 30, we’re available Monday through Friday from 8 am to 8 pm EST.