Drug List

View a List of Drugs You Can Get on Our Plan

Our Drug List, or formulary, provides a list of medicines that you can get on our plan.

              

To view the PDF files above, you may need to download a free copy of Adobe® Acrobat Reader* software on your computer. 

Boston Medical Center HealthNet Plan covers both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. 

Drug Type
2020

2021

Prescription Drug


 
2020 Prescription Drugs

 Printed Version

 2021 Prescription Drugs*

Printed Version 

Over-the-Counter Drug**


2020 Over-the-Counter Drugs

2021 Over-the-Counter Drugs*

Get Your Prescriptions By Mail


*When you click this link, you will leave our website.

**The drugs on this list are free and can be picked up at any in-network pharmacy, but they still require a prescription from your doctor.

Get Certain Prescriptions By Mail

You can have medications that you take on a regular basis (called maintenance drugs) sent to your home, so you don’t have to go to the pharmacy every time you need a refill. In some cases, you can get a 90-day supply of medication with each refill. Find out how to get your prescriptions delivered to you!

Some Drugs May Have Restrictions or Require Approval Before You Can Get Them

There may be restrictions on certain drugs in our drug list. These drugs have special rules that must be followed before you can get them, for example your doctor may need to prove that a certain drug is necessary for your health before a drug will be covered. 

Drugs will have codes listed next to them that help explain the restriction. Lookup the meanings of those codes. To request approval for a drug that is not covered or restricted, you can submit a Request for Drug Coverage Determination.

Request a Drug that is Not Covered

If your prescription is not listed in the Drug List or has restriction on it, you can request that we cover it or that we remove the restrictions on it.

Limitations and restrictions may apply. Benefits, formulary, pharmacy network and provider network may change on January 1 of each year. You will receive notice when necessary. For more information, contact the plan.

 

To view the PDF files above, you may need to download a free copy of Adobe® Acrobat Reader* software on your computer. 

              

To view the PDF files above, you may need to download a free copy of Adobe® Acrobat Reader* software on your computer.