HC Prescription Drug Information

Covered prescription drugs and supplies are put into categories (i.e. tiers) to designate how they are to be covered and the member's cost-share. The placement of a drug or supply into one of the tiers is determined by the carrier's pharmacy services department based on the drug's or supply's clinical effectiveness and cost, not always on whether it is a generic drug or supply or brand name drug/supply. Be sure to check each carrier's drug list via the links below to determine your cost-share and for tier and drug classifications.

HSA benefit for preventive drugs

All HSA-compatible plans include a pharmacy benefit that encourages the use of certain preventive medications to manage chronic conditions. This means that many covered preventive drugs are not subject to the plan deductible. Copays and coinsurance still apply.

• ConnectiCare preventive drug list
• Harvard Pilgrim preventive drug list

How to Look Up Prescription Drug Formularies

• ConnectiCare groups effective or renewing in 2019
• Harvard Pilgrim groups effective or renewing January 2019
  

Mail Order Prescriptions

• Mail order drugs are dispensed at 2x the retail prescription co-pay or cost share.
  Mail order availability and cost-share for specialty drugs vary by carrier. See specific carrier documents for more information.

ConnectiCare

Express Scripts

800.403.3956

Mail Order Form

 

 

Harvard Pilgrim

MedImpact Direct (effective Oct. 1, 2017 - see announcement)

855.873.8739

Mail Order Form

FAQ

Have questions about the program? Check for answers here first.