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.
Our Medicare Advantage prescription drug coverage includes hundreds of
generic and brand-name medications, all with no deductible.
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.
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.
Members have access to thousands of participating pharmacies, including all major pharmacy chains.
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.
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.
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.