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  1. Home
  2. Drug & Pharmacy Coverage

Drug & Pharmacy Coverage

Tufts Health Plan uses Formularies to list the prescription drugs that each of our different plan types cover. Select your plan below to find out if your drugs are covered and which tier they fall under on your plan type:

Medicare Advantage (HMO/PPO)

Senior Care Options (D-SNP)

One Care (D-SNP)

  • Enroll in a Plan

Questions?

Call Us: 1-800-890-6600
(TTY: 711)

Member Services:

1-800-701-9000 (HMO) (TTY: 711) or

1-866-623-0172 (PPO) (TTY: 711) 

Hours of Operation: 8 a.m. – 8 p.m., 7 days a week (Mon. – Fri. from Apr. 1 – Sept. 30)

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Our Plans

  • Medicare Advantage Plans (HMO & PPO)
  • Senior Care Options (D-SNP)
  • One Care (D-SNP)
  • Medicare Supplement Plans
  • Dental Coverage Plans & Options
  • Find a Plan

Resources

  • Medication Therapy Management
  • Low Income Subsidy Premium Changes
  • Submit Plan Feedback to Medicare
  • Request a Medicare Part D Coverage Determination
  • Request a Medicare Part D Coverage Redetermination

Reports

  • 2025 Health Equity Final Report - Tufts Health Plan Medicare Preferred HMO & PPO
  • 2025 Health Equity Final Report - Tufts Health Plan Senior Care Options (D-SNP)
  • 2025 Health Equity Final Report - Tufts Health One Care (D-SNP)
  • CMS Prior Authorization Metrics for Medical items & Services Report (TMP)
  • CMS Prior Authorization Metrics for Medical items & Services Report (SCO)
  • CMS Prior Authorization Metrics for Medical items & Services Report (One Care)
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Tufts Health Plan is an HMO/PPO plan with a Medicare contract. Enrollment in Tufts Health Plan depends on contract renewal.

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  • HMO & PPO Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (NOA)
  • SCO Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (NOA)
  • One Care Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (NOA)
  • View the Notice of Non-Discrimination
  • HMO/PPO Disclaimers
  • Senior Care Options Disclaimers
  • One Care Disclaimers
  • Medicare Supplement Disclaimers

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  • Last Updated: 10-01-2026