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
Use our prescription mail order service to get your medications shipped free, and right to your door. For prescriptions you take regularly--like pills needed for blood pressure or diabetes--it can be a real time-saver.
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).
Over-the-Counter (OTC) Benefit
As a Mass Advantage member, you get a quarterly OTC allowance that you can use every three months for everyday health items. Like what? Products for skin care, pain relief, colds and allergies, first aid, eye care…the list goes on. It’s easy to order online, through our free mobile app, or by phone.
Medication Therapy Management (MTM)
Taking a lot of medications? You may be eligible for our MTM program. We offer expert help so you can be sure you’re taking your medicines safely. Qualified pharmacists will carefully review all of your prescriptions – supplements, too. They’ll check for any potential interactions and make sure you know how to use each one. They’re also here to answer questions and help address any concerns you may have with the cost of your medications.
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.