Our formularies and Preferred Drug Lists promote appropriate and cost-effective prescription drugs for our members. Please refer to the formularies and Preferred Drug Lists to confirm the drugs being prescribed are covered by the Plan. The Pharmacy and Therapeutics Committee reviews and revises the formulary on a monthly basis.
Certain drugs processed under the medical benefit are available through specialty pharmacies. Please refer to the Office-Administered Medical Drugs policies for more information (Harvard Pilgrim Health Care commercial; Tufts Health Direct; Tufts Health Plan Commercial and Tufts Health Plan Medicare Preferred).
Harvard Pilgrim Health Care
2025 Prescription Drug Plans
2025 Prescription Drug Plans:
2025 Prescription Drug Plans:
2025 Prescription Drug Plans:
2025 Prescription Drug Plans:
2025 Prescription Drug Plans:
Tufts Health Plan
2025
- Value 4-Tier: PDF | Searchable list
- Premium 3-Tier: PDF | Searchable list
- Premium 4-Tier: PDF | Searchable list
2025
- 2025 Tufts Medicare Preferred HMO Individual: PDF | Searchable list
- 2025 Tufts Medicare Preferred HMO Employer Group: PDF | Searchable list
- 2025 Tufts Medicare Preferred Access PPO: PDF | Searchable list
- 2025: PDF | Searchable list
- 2025: PDF | Searchable list
- 2025: PDF | Searchable list
Tufts Health Together utilizes MassHealth’s Unified Formulary for pharmacy medications and select medical benefit drugs; for drug coverage and criteria refer to the MassHealth Drug List.
Tufts Health One Care utilizes MassHealth’s Unified Formulary for certain anti-obesity drugs; for drug coverage and criteria refer to the MassHealth Drug List. For all other drugs, refer to the Tufts Health One Care formulary:
- 2025 One Care: PDF | Searchable list