2025 Tufts Medicare Preferred HMO prescription drug coverage
Tufts Health Plan works with Optum Rx for pharmacy benefit management services.
Find an Optum Rx network pharmacy near you. See what drugs your plan covers and use the Drug Pricing Tool to learn how much you’ll pay out of pocket for your prescriptions.
Buying your prescriptions
Check to see if the pharmacy you use participates in the Optum Rx network, and find preferred pharmacies for lower cost sharing.* You can also use Optum® Home Delivery for up to a 90-day supply of medications you take regularly for conditions such as heart disease, diabetes or depression (standard shipping is free).**
Use the Drug Pricing Tool to learn how much you’ll pay out of pocket for your prescriptions.
*Depending on your coverage.
**Specialty medications, which are prescribed for treating complex conditions such as hepatitis C, multiple sclerosis or rheumatoid arthritis, are provided through Optum Specialty Pharmacy. They're typically delivered directly to your home.
Your prescription drug benefits
Find out which drugs are covered on our Tufts Medicare Preferred HMO plans.
Prescription Drug List
2025 Formulary booklet (English PDF)
2025 Formulary booklet (Spanish PDF)
Additional Information
Resources for helping you understand your prescription drug benefits.
Optum Home Delivery Mail Order Form (PDF)
Paper Claim Reimbursement Form (PDF) - English
Paper Claim Reimbursement Form (PDF) - Spanish
Have a Question?
For questions or concerns about your pharmacy benefits (i.e., cost sharing, claims, etc.), please call 1-800-701-9000 (TTY: 711).
If this is an emergency, dial 911.