MassHealth Drug List - Health and Human Services - Conduent

MassHealth Supplemental Rebate/Preferred Drug List. Link to the list of drugs preferred by MassHealth based on supplemental rebate agreements between MassHealth and drug manufacturers. In general, MassHealth requires a trial of the preferred drug or clinical rationale for prescribing a non-preferred drug within a therapeutic class.

Chart of MassHealth covered services | Mass.gov

Citizenship is not a factor for getting CMSP coverage. For questions about benefits, covered services, provider network, and other questions about CMSP, contact CMSP Customer Service at (800) 909-2677. For questions about eligibility or how to obtain an application, contact a MassHealth Enrollment Center at (888) 665-9993.

MassHealth Guidelines for Medical Necessity Determination for the ...

MassHealth requires PA for treatment of erectile dysfunction. MassHealth reviews requests for PA on the basis of medical necessity. If MassHealth approves the request, payment is still subject to all general conditions of MassHealth, including member eligibility, other insurance, and program restrictions.

Guidelines for Medical Necessity Determination for the Treatment of ...

B. Non-coverage MassHealth considers the following treatments experimental and investigational for erectile dysfunction because their effectiveness has not been established, and generally does not consider the following treatments medically necessary. • Exogenous testosterone replacement therapy and topical creams or gels containing vasodilators

Prescriptions | MassHealth | WellSense Health Plan

Affordable copays for generic medications. Choose from more than 1,000 pharmacies through Massachussetts to get your prescriptions filled. Get specialty medications, like injectable and biotech drugs, that are used treat members with rare or chronic conditions. Effective April 1, 2024, MassHealth will apply a $0 copay to all drugs for members.

CCA One Care Covered Drugs - Commonwealth Care Alliance MA

2024. 2025. Get the medications you need. Your CCA One Care plan covers a wide range of both over-the-counter and brand-name and generic prescription drugs at no cost to you. Use the resources below to find out if a medication is covered by Commonwealth Care Alliance and if it requires step therapy or pre-approval. CCA One Care Drug Search.

Covered Services List - Mass.gov

for up to 100 days. If the member becomes eligible for another MassHealth coverage type (e.g., MassHealth Standard or CommonHealth), this coverage may be extended beyond 100 days. (Note: Admission in a CDRH and a Nursing Facility will be treated as one admission. In those cases, 100 days of combined CDRH and Nursing Facility services are covered.)