Learn about changes coming to our pharmacy benefits

Starting January 1, 2024, Optum Rx will be our new pharmacy benefit manager for our commercial and Mass General Brigham ACO membership. Visit the link below to learn about this change, view our 2024 pharmacy benefit information, and search for participating pharmacies.

FlexRx Benefits

Coverage for many common over-the-counter drugs

Savings on a 90-day supply of certain maintenance medications at participating retail pharmacies or by mail order

Additional savings at CVS Pharmacy® on health products

Online tools to help you manage your plan

 

Find a drug and see the other prescription benefits for your health plan.

If you're a member and have pharmacy benefits through Mass General Brigham Health Plan you can search your plan's drug list, also known as a formulary, on the Pharmacy page of the Member Portal.

If you do not get your pharmacy benefits through us, contact your employer for more information.

Covered preventive prescription drugs

See the covered preventive prescription drugs
View list

 

Important information about prescription contraceptive coverage:

Members with pharmacy benefits through Mass General Brigham Health plans and Mass General Brigham ACO are entitled to fill a 12-month supply of prescription contraceptives under Chapter 120 of the Acts of 2017, An Act Relative to Advancing Contraceptive Coverage and Economic Security in Our State (ACCESS).

To find out about your options, please speak to your provider or pharmacist.

 

11 No-cost drugs

For any plans that include Care Complement, the following common prescription medications to treat depression, heart conditions, and high blood pressure have $0 cost for members.*

Depression: Fluoxetine 10, 20mg capsules
Diabetes: Metformin, regular release tablets
High cholesterol: Atorvastatin tablets, Simvastatin tablets
Heart and high blood pressure: Amlodipine besylate tablets, Atenolol tablets, Furosemide tablets, Lisinopril tablets, Losartan tablets, Hydrochlorothiazide 12.5mg capsule, 25mg, 50mg tablets, Metoprolol succinate SR tablets
 
*Does not apply to HSA plans.