Pharmacy & Prescription benefits

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Health New England offers a range of pharmacy and prescription benefits to help you take care of your health.

Search for your prescription drugs and learn about coverage information and options.
Find A Drug  

Looking for a pharmacy near you? Our pharmacy network includes most major chains and community pharmacies.

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Important Message About What You Pay for Insulin - You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on even if you haven’t paid your deductible. In accordance with the Inflation Reduction Act of 2022, this plan will provide additional coverage for all insulin drugs that are not Select Insulin drugs covered under the Part D Senior Savings Model.

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Medication Therapy Management

If you have complex health needs, you may be eligible to participate in our Medication Therapy Management- designed to help you and your doctor make sure that your medications are working.

Mail Order Drug Program

Mail Order is a convenient and cost-effective way for you to order a 90-day supply of medication for delivery to your home, office or location of your choosing.

Drug Requirements & Limits

Some covered drugs have additional requirements or limits on coverage. Learn more about prior authorization, step therapy and quantity limits and see what it may mean for you.

Prescription Drug Transition Policy

If you are new to our Medicare Part D prescription drug plan and your drug is not on our drug list or is restricted in some way, we have options to help you through this transition.

Initial Decisions, Appeals & Grievances

We do our best to ensure that everything goes smoothly for you regarding your Health New England Medicare Advantage plan. However, if you do need to contact us regarding an initial decision, appeal or grievance, there are several ways to do this.

Quality Management Programs

We're committed to making sure that you get the best possible care and service from your Health New England Medicare Advantage plan. Our Quality Management Programs are in place to help.