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PHARMACY INFORMATION Tufts Health Plan requires prior authorization for coverage of certain drugs. Tufts Health Plan's pharmacy medical necessity guidelines are used in conjunction with a member's plan document and in coordination with the prescribing provider submitting the request for authorization.

Our MassHealth plan Our Tufts Health Together plan provides high-quality MassHealth coverage for individuals and is free or low cost to low-income families enrolled in the state's Medicaid plan.

Tufts Health RITogether does not require referrals for specialty care. However, PCPs are responsible for referring members to an in-network specialist, when appropriate.

When you join the Your Choice EPO, you must select a Primary Care Provider from the Tufts Health Plan Directory of Health Care Providers at .tufthshealthplan.com. Your Primary Care Provider will coordinate your care under the plan, including most specialist referrals.

When you join the Your Choice EPO, you must select a Primary Care Provider from the Tufts Health Plan Directory of Health Care Providers at .tufthshealthplan.com. Your Primary Care Provider will coordinate your care under the plan, including most specialist referrals.

Prior Authorization: Tufts Medicare Preferred HMO requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval from Tufts Medicare Preferred HMO before you fill your prescriptions.

PHARMACY INFORMATION Tufts Health Plan requires prior authorization for coverage of certain drugs. Tufts Health Plan's pharmacy medical necessity guidelines are used in conjunction with a member's plan document and in coordination with the prescribing provider submitting the request for authorization.

As a reminder, while prior authorization is not required for out-of-network services, providers and members are encouraged to request a pre-visit coverage decision from Tufts Health Plan before rendering/seeking out-of- network services.