Pharmacy benefits built for
savings and convenience

Our Medicare Advantage prescription drug coverage includes hundreds of
generic and brand-name medications, all with no deductible. 

 

Check your prescription drug coverage

See if your current medications are covered by searching our online formulary.


Medications in the formulary are categorized into different tiers. When you know what tier your medication is in, you can find out what your cost sharing will be.


2025 pharmacy information


If you need more pharmacy information, you can find drug coverage and pharmacy forms on our Forms & Resources page.

Doctor holding a tablet.

For Employer Group Waiver Plans (EGWPs) 

Did you know? Members get $0 preferred
generic drugs at pharmacies nationwide

Commonly used generic medications in Tier 1 of our Formulary are covered at no additional cost to
members. Talk to your doctor to see if these medications may be right for you.

Convenient
pharmacy access

Members have access to thousands of participating pharmacies, including all major pharmacy chains.
 

Pharmacist checking her tablet inside a pharmacy.
Elderly couple playing soccer in a park.

Medicare Part D Coverage Details - 2025

Initial coverage period 

When your coverage begins, you pay your cost share for covered prescription drugs. View costs for a 30-day supply from a participating retail pharmacy in the table below.

Reaching the Catastrophic Coverage Limit

Beginning in 2025, if your out-of-pocket costs for Part D drugs reaches $2,000, you reach the Catastrophic Coverage Stage and pay nothing for covered Part D drugs. You may have cost sharing for drugs that are covered under our enhanced benefit.

Rx information for members

Get personal support from a pharmacist

Two women shaking hands and laughing.

The Medication Therapy Management Program (MTMP) is your chance to review your medications and over-the-counter products with a pharmacist. Learn more about this program that is free to all Medicare members.

Two women shaking hands and laughing.

Transition your prescriptions

Mass General Brigham Health Plans Part D Transition Policy exists to provide new (and some current) enrollees immediate access to prescription drugs within 90 days of enrollment for non-formulary drugs and drugs with utilization management requirements, such as the need for a prior authorization from us.

Decision Support kit set against a gray background.

Need more information? We’ve got you covered

Our decision support kits provide all the information you need to choose the right plan. Compare plans, explore benefits and coverage, and view plan costs.

Our Plans

We designed our plans to provide continuous coverage so that you can always get the right care, at the right time. Each one of our plans offers comprehensive benefits like vision, dental, hearing, and fitness reimbursements - all starting from $0 monthly.

Have questions?

Ask a Medicare Advisor

Our dedicated Medicare Advisors are here to help. They can answer any questions about forms, policies, and coverage.

Call 855-486-3097

TTY 711

Oct 1 - Mar 31

8 AM-8 PM ET, Mon-Sun

Apr 1 - Sep 30

8 AM-8 PM ET, Mon-Fri

Frequently asked questions

Search the network and formulary

Check to see if your doctors and prescription medications are covered. If you have questions, we can help you make a smooth transition and continue to get the care you need.