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Medicare Advantage (HMO/PPO) Drug Coverage Information

Learning about your drug coverage options and how to use them is essential! Use this page to learn how to search for a covered drug, look up a nearby pharmacy, or research how best to use your drug coverage.

Tufts Health Plans use formularies to list the prescription drugs that each of our different plan types cover. You can use the search tools to find covered drugs, drug tiers, and local pharmacies available to your plan.

Documents & Resources

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Drug & pharmacy documents

Plan documents, such as your plan's Evidence of Coverage, provide members with a comprehensive look at what benefits are available in their plan and how they can be used. Plan forms allow members to submit claims, request drug redeterminations, designate representatives for their care, and more. You can use the links below to review important material related to your plans drug & pharmacy information.

HMO Documents HMO Forms PPO Documents PPO Forms

Additional resources

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Medication Therapy Management (MTM)

If you receive your Medicare Part D drug coverage through Tufts Health Plan, you may be eligible for a Medication Therapy Management (MTM) program.

View MTM program
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The Inflation Reduction Act (IRA)

The IRA requires all Medicare Advantage plans to make changes to Medicare drug benefits across multiple years.

View IRA information & resources
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Drug coverage article library

Find information on home delivery services for you drug coverage or review important pharmacy information on our Drug and Pharmacy article page.

View article library