Welcome to Optum Rx

At Health New England, we continuously look for ways to keep your health care costs down while still providing you with the highest possible level of quality. As part of this commitment, Health New England is partnering with OptumRx. An experienced Medicare Part D benefits manager, OptumRx provides pharmacy benefits that are more cost-effective for members. OptumRx is a focused, collaborative and innovative leader in the pharmacy benefit management (PBM) industry. Every day, OptumRx serves millions of people through a state-of-the-art home delivery pharmacy and a national network of community pharmacies.

Your pharmacy network

The Health New England Medicare Advantage pharmacy network includes access to thousands of retail locations, including large, national chains and many community pharmacies. For medications you take regularly, you can also use the OptumRx home delivery pharmacy.

Find a Network Pharmacy Online Now

Pharmacy Search Tool General Information

 

Your prescription drug benefits

Health New England offers a list of covered drugs and prescription therapies determined to be a necessary part of treatment prescribed by your doctor. Your plan covers both brand name drugs and generic drugs. Search for your prescription drugs and learn about coverage information and options below.

Each Part D prescription drug on the plan’s prescription drug list is in one of five cost-sharing tiers. The following are the drugs included in each cost-sharing tier. To find out which cost-sharing tier your drug is in, select View Prescription Drug List below.

Cost Sharing Tier 1 includes preferred generic drugs 
Cost Sharing Tier 2 includes generic drugs 
Cost Sharing Tier 3 includes preferred brand drugs 
Cost Sharing Tier 4 includes non-preferred drugs 
Cost Sharing Tier 5 includes specialty drugs 
Drug Pricing 
Prescription Drug List