Pharmacy benefits

Get to know our pharmacy benefits

Mass General Brigham Health Plan covers a wide variety of safe and effective medications for treating our members' medical needs.

We partner with Optum Rx® to manage pharmacy benefits for our members. Members can fill prescription medications at any pharmacy in our national network which includes most major chains like CVS Pharmacy®, Walgreens® and Rite Aid®, as well as grocery store pharmacies and many independent pharmacies across the United States.

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

Search for covered drugs

Our pharmacy programs sort drugs into tiers based on their cost. Many of our plans include the 6-tier pharmacy program, which sorts drugs into 6 different cost tiers. Other plans include the 4-tier or 3-tier pharmacy program. Below you'll find the drug lookup for each of our pharmacy programs, along with other prescription benefits that come as part of the program included with your plan.

If you're not sure which pharmacy program is included with your plan, you can find out in your Schedule of Benefits. Current members can view this document by signing in to the Member Portal.

Additional pharmacy benefit information

Prescription contraceptive coverage

11 No-cost drugs

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

• Depression: Fluoxetine 10mg, 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