Guide to Medications with No Co-Pays for ConnectorCare Members

ConnectorCare members can get medications for some health conditions with no co-pay

As a ConnectorCare member, did you know you may be able to fill certain prescription medicines at no cost to you? The program covers medications that treat a variety of chronic health conditions. For example:

Asthma
Coronary artery disease (a type of heart disease)
Diabetes
Hypertension (high blood pressure)

How do I know if my medication is included?

To find out if you can get your medication at no cost to you:

Find the list of medications here
Ask your doctor or pharmacist
Call Health Connector Customer Service at 1-877-MA ENROLL (1-877-623-6765) or TTY: 1-877-623-7773

What do I have to do to get my medication at no cost?

You don’t have to do anything if your medication is included in the program! Next time you fill your prescription at a retail pharmacy in the Massachusetts ConnectorCare network—or through a mail-order pharmacy—you won’t have to pay. However, if your eligibility changes and you’re no longer enrolled in a ConnectorCare plan, these benefits won’t apply to you.

Carrier	Health Conditional	Medication	Dose/Strength	Generic or Brand	Form
Blue Cross Blue Shield of MA	Asthma	Albuterol	0.83 MG/ML	Generic	Inhalable Solution
Blue Cross Blue Shield of MA	Asthma	Albuterol	5 MG/ML	Generic	Inhalable Solution
Blue Cross Blue Shield of MA	Asthma	Albuterol	0.21 MG/ML	Generic	Inhalable Solution
Blue Cross Blue Shield of MA	Asthma	Albuterol	0.417 MG/ML	Generic	Inhalable Solution
Blue Cross Blue Shield of MA	Asthma	Budesonide	0.125 MG/ML	Generic	Inhalation Suspension
Blue Cross Blue Shield of MA	Asthma	Budesonide	0.25 MG/ML	Generic	Inhalation Suspension
Blue Cross Blue Shield of MA	Asthma	Budesonide	0.5 MG/ML	Generic	Inhalation Suspension
Blue Cross Blue Shield of MA	Asthma	Fluticasone Propionate	0.05 MG/ACTUAT	Brand	Dry Powder Inhaler
Blue Cross Blue Shield of MA	Asthma	Fluticasone Propionate	0.1 MG/ACTUAT	Brand	Dry Powder Inhaler
Blue Cross Blue Shield of MA	Asthma	Fluticasone Propionate	0.25 MG/ACTUAT	Brand	Dry Powder Inhaler
Blue Cross Blue Shield of MA	Asthma	Fluticasone Propionate	0.044 MG/ACTUAT	Brand	Metered Dose
Blue Cross Blue Shield of MA	Asthma	Fluticasone Propionate	0.11 MG/ACTUAT	Brand	Metered Dose
Blue Cross Blue Shield of MA	Asthma	Fluticasone Propionate	0.22 MG/ACTUAT	Brand	Metered Dose
Blue Cross Blue Shield of MA	Asthma	Montelukast	10 MG	Generic	Oral Tablet
Blue Cross Blue Shield of MA	Asthma	Montelukast	4 MG	Generic	Chewable Tablet
Blue Cross Blue Shield of MA	Asthma	Montelukast	5 MG	Generic	Chewable Tablet
Blue Cross Blue Shield of MA	Asthma	Montelukast	4 MG	Generic	Granules Packet
Blue Cross Blue Shield of MA	Coronary artery disease (CAD)	Atorvastatin Calcium	10 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Coronary artery disease (CAD)	Atorvastatin Calcium	20 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Coronary artery disease (CAD)	Atorvastatin Calcium	40 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Coronary artery disease (CAD)	Atorvastatin Calcium	80 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Coronary artery disease (CAD)	Metoprolol Succinate	25 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Coronary artery disease (CAD)	Metoprolol Succinate	50 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Coronary artery disease (CAD)	Metoprolol Succinate	100 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Coronary artery disease (CAD)	Metoprolol Succinate	200 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Diabetes	Metformin Hydrochloride	500 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Diabetes	Metformin Hydrochloride	1000 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Diabetes	Empagliflozin	10 MG	Brand	Tablet
Blue Cross Blue Shield of MA	Diabetes	Empagliflozin	25 MG	Brand	Tablet
Blue Cross Blue Shield of MA	Hypertension	Lisinopril	2.5 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Lisinopril	5 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Lisinopril	10 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Lisinopril	20 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Lisinopril	30 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Lisinopril	40 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Amlodipine Besylate	2.5 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Amlodipine Besylate	5 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Amlodipine Besylate	10 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Hydrochlorothiazide 12.5 MG / Lisinopril 10 MG	12.5 MG/10 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Hydrochlorothiazide 12.5 MG / Lisinopril 20 MG	12.5 MG/20 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Hydrochlorothiazide 25 MG / Lisinopril 20 MG	25 MG/20 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Hydrochlorothiazide	12.5 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Hydrochlorothiazide	25 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Hydrochlorothiazide	50 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Metoprolol Succinate	25 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Metoprolol Succinate	50 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Metoprolol Succinate	100 MG	Generic	Tablet
Blue Cross Blue Shield of MA	Hypertension	Metoprolol Succinate	200 MG	Generic	Tablet
Fallon Health	Asthma	Albuterol	0.21 MG/ML	Generic
Fallon Health	Asthma	Albuterol	0.417 MG/ML	Generic
Fallon Health	Asthma	Albuterol	0.83 MG/ML	Generic
Fallon Health	Asthma	Albuterol	5 MG/ML	Generic
Fallon Health	Asthma	Budesonide	0.125 MG/ML	Generic
Fallon Health	Asthma	Budesonide	0.25 MG/ML	Generic
Fallon Health	Asthma	Budesonide	0.5 MG/ML	Generic
Fallon Health	Asthma	Flovent	0.011MG/ACTUAT	Brand
Fallon Health	Asthma	Flovent	0.022MG/ACTUAT	Brand
Fallon Health	Asthma	Flovent	0.044MG/ACTUAT	Brand
Fallon Health	Asthma	Flovent	0.05MG/ACTUAT	Brand
Fallon Health	Asthma	Flovent	0.1MG/ACTUAT	Brand
Fallon Health	Asthma	Flovent	0.25MG/ACTUAT	Brand
Fallon Health	Asthma	Montelukast	10 MG	Generic
Fallon Health	Asthma	Montelukast	4 MG	Generic
Fallon Health	Asthma	Montelukast	5 MG	Generic
Fallon Health	CAD/Hypertension	Metoprolol Succinate	100 MG	Generic
Fallon Health	CAD/Hypertension	Metoprolol Succinate	200 MG	Generic
Fallon Health	CAD/Hypertension	Metoprolol Succinate	25 MG	Generic
Fallon Health	CAD/Hypertension	Metoprolol Succinate	50 MG	Generic
Fallon Health	Coronary artery disease (CAD)	Atorvastatin	10 MG	Generic
Fallon Health	Coronary artery disease (CAD)	Atorvastatin	20 MG	Generic
Fallon Health	Coronary artery disease (CAD)	Atorvastatin	40 MG	Generic
Fallon Health	Coronary artery disease (CAD)	Atorvastatin	80 MG	Generic
Fallon Health	Diabetes	Jardiance	10 MG	Brand
Fallon Health	Diabetes	Jardiance	25 MG	Brand
Fallon Health	Diabetes	Metformin	1000MG	Generic
Fallon Health	Diabetes	Metformin	500 MG	Generic
Fallon Health	Hypertension	Amlodipine	10 MG	Generic
Fallon Health	Hypertension	Amlodipine	2.5 MG	Generic
Fallon Health	Hypertension	Amlodipine	5 MG	Generic
Fallon Health	Hypertension	Hydrochlorothiazide	12.5 MG	Generic
Fallon Health	Hypertension	Hydrochlorothiazide 12.5 MG / Lisinopril 10 MG	12.5 MG / 10 MG	Generic
Fallon Health	Hypertension	Hydrochlorothiazide 12.5 MG / Lisinopril 20 MG	12.5 MG / 20 MG	Generic
Fallon Health	Hypertension	Hydrochlorothiazide	25 MG	Generic
Fallon Health	Hypertension	Hydrochlorothiazide 25 MG / Lisinopril 20 MG	25 MG / 20 MG	Generic
Fallon Health	Hypertension	Hydrochlorothiazide	50 MG	Generic
Fallon Health	Hypertension	Lisinopril	10 MG	Generic
Fallon Health	Hypertension	Lisinopril	2.5 MG	Generic
Fallon Health	Hypertension	Lisinopril	20 MG	Generic
Fallon Health	Hypertension	Lisinopril	30 MG	Generic
Fallon Health	Hypertension	Lisinopril	40 MG	Generic
Fallon Health	Hypertension	Lisinopril	5 MG	Generic
Harvard Pilgrim Health Care	Asthma	Albuterol	5 MG/ML	Generic	Inhalable Solution
Harvard Pilgrim Health Care	Asthma	Albuterol	0.417 MG/ML	Generic	Inhalable Solution
Harvard Pilgrim Health Care	Asthma	Albuterol	0.21 MG/ML	Generic	Inhalable Solution
Harvard Pilgrim Health Care	Asthma	Albuterol	0.83 MG/ML	Generic	Inhalable Solution
Harvard Pilgrim Health Care	Asthma	Budesonide	0.5 MG/ML Inh	Generic	Inhalation Suspension
Harvard Pilgrim Health Care	Asthma	Budesonide	0.125 MG/ML	Generic	Inhalation Suspension
Harvard Pilgrim Health Care	Asthma	Budesonide	0.25 MG/ML	Generic	Inhalation Suspension
Harvard Pilgrim Health Care	Asthma	Montelukast	10 MG	Generic	Oral Tablet
Harvard Pilgrim Health Care	Asthma	Montelukast	5 MG	Generic	Chewable Tablet
Harvard Pilgrim Health Care	Asthma	Montelukast	4 MG	Generic	Chewable Tablet
Harvard Pilgrim Health Care	Asthma	Beclomethasone Dipropionate	0.08 MG/ACTUAT	Brand Qvar	Metered Dose
Harvard Pilgrim Health Care	Asthma	Beclomethasone Dipropionate	0.04 MG/ACTUAT	Brand Qvar	Metered Dose
Harvard Pilgrim Health Care	Asthma	Fluticasone Furoate	0.1 MG/ACTUAT	Brand Arnuity	Dry Powder Inhaler
Harvard Pilgrim Health Care	Asthma	Fluticasone Furoate	0.2 MG/ACTUAT	Brand Arnuity	Dry Powder Inhaler
Harvard Pilgrim Health Care	Asthma	Fluticasone Furoate	0.05 MG/ACTUAT	Brand Arnuity	Dry Powder Inhaler
Harvard Pilgrim Health Care	CAD/Hypertension	Metoprolol Succinate	100 MG	Generic	Tablet Extended Release
Harvard Pilgrim Health Care	CAD/Hypertension	Metoprolol Succinate	200 MG	Generic	Tablet Extended Release
Harvard Pilgrim Health Care	CAD/Hypertension	Metoprolol Succinate	25 MG	Generic	Tablet Extended Release
Harvard Pilgrim Health Care	CAD/Hypertension	Metoprolol Succinate	50 MG	Generic	Tablet Extended Release
Harvard Pilgrim Health Care	Coronary artery disease (CAD)	Atorvastatin	10 MG	Generic	Tablet
Harvard Pilgrim Health Care	Coronary artery disease (CAD)	Atorvastatin	20 MG	Generic	Tablet
Harvard Pilgrim Health Care	Coronary artery disease (CAD)	Atorvastatin	40 MG	Generic	Tablet
Harvard Pilgrim Health Care	Coronary artery disease (CAD)	Atorvastatin	80 MG	Generic	Tablet
Harvard Pilgrim Health Care	Diabetes	Metformin Hydrochloride	1000 MG	Generic	Tablet
Harvard Pilgrim Health Care	Diabetes	Metformin Hydrochloride	500 MG	Generic	Tablet
Harvard Pilgrim Health Care	Diabetes	Empagliflozin	10 MG	Brand Jardiance	Oral
Harvard Pilgrim Health Care	Diabetes	Empagliflozin	25 MG	Brand Jardiance	Oral
Harvard Pilgrim Health Care	Hypertension	Lisinopril	2.5 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Lisinopril	5 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Lisinopril	10 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Lisinopril	20 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Lisinopril	30 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Lisinopril	40 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Amlodipine	2.5 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Amlodipine	5 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Amlodipine	10 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Hydrochlorothiazide 12.5 MG / Lisinopril 10 MG	12.5 MG/10 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Hydrochlorothiazide 12.5 MG / Lisinopril 20 MG	12.5 MG/20 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Hydrochlorothiazide 25 MG / Lisinopril 20 MG	25 MG/20 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Hydrochlorothiazide	12.5 MG	Generic	Capsule
Harvard Pilgrim Health Care	Hypertension	Hydrochlorothiazide	25 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Hydrochlorothiazide	50 MG	Generic	Tablet
Harvard Pilgrim Health Care	Hypertension	Hydrochlorothiazide	12.5 MG	Generic	Tablet
Health New England	Asthma	Albuterol	NEB 0.083%	Generic
Health New England	Asthma	Albuterol	NEB 0.5%	Generic
Health New England	Asthma	Albuterol	NEB 0.63MG/3	Generic
Health New England	Asthma	Albuterol	NEB 1.25MG/3	Generic
Health New England	Asthma	Budesonide	SUS 0.25MG/2	Generic
Health New England	Asthma	Budesonide	SUS 0.5MG/2	Generic
Health New England	Asthma	Budesonide	SUS 1MG/2ML	Generic
Health New England	Asthma	Flovent	DISK AER 100MCG	Brand
Health New England	Asthma	Flovent	DISK AER 250MCG	Brand
Health New England	Asthma	Flovent	DISK AER 50MCG	Brand
Health New England	Asthma	Flovent	HFA AER 110MCG	Brand
Health New England	Asthma	Flovent	HFA AER 220MCG	Brand
Health New England	Asthma	Flovent	HFA AER 44MCG	Brand
Health New England	Asthma	Montelukast	CHW 4MG	Generic
Health New England	Asthma	Montelukast	CHW 5MG	Generic
Health New England	Asthma	Montelukast	TAB 10MG	Generic
Health New England	CAD/Hypertension	Metoprolol Succinate	TAB 100MG ER	Generic
Health New England	CAD/Hypertension	Metoprolol Succinate	TAB 200MG ER	Generic
Health New England	CAD/Hypertension	Metoprolol Succinate	TAB 25MG ER	Generic
Health New England	CAD/Hypertension	Metoprolol Succinate	TAB 50MG ER	Generic
Health New England	Coronary artery disease (CAD)	Atorvastatin	TAB 10MG	Generic
Health New England	Coronary artery disease (CAD)	Atorvastatin	TAB 20MG	Generic
Health New England	Coronary artery disease (CAD)	Atorvastatin	TAB 40MG	Generic
Health New England	Coronary artery disease (CAD)	Atorvastatin	TAB 80MG	Generic
Health New England	Diabetes	Jardiance	TAB 10MG	Brand
Health New England	Diabetes	Jardiance	TAB 25MG	Brand
Health New England	Diabetes	Metformin	TAB 1000MG	Generic
Health New England	Diabetes	Metformin	TAB 500MG	Generic
Health New England	Hypertension	Amlodipine	TAB 10MG	Generic
Health New England	Hypertension	Amlodipine	TAB 2.5MG	Generic
Health New England	Hypertension	Amlodipine	TAB 5MG	Generic
Health New England	Hypertension	Hydrochlorothiazide	TAB 12.5MG	Generic
Health New England	Hypertension	Hydrochlorothiazide	TAB 25MG	Generic
Health New England	Hypertension	Hydrochlorothiazide	TAB 50MG	Generic
Health New England	Hypertension	Lisinop/HCTZ	TAB 10-12.5	Generic
Health New England	Hypertension	Lisinop/HCTZ	TAB 20-12.5	Generic
Health New England	Hypertension	Lisinop/HCTZ	TAB 20-25MG	Generic
Health New England	Hypertension	Lisinopril	TAB 10MG	Generic
Health New England	Hypertension	Lisinopril	TAB 2.5MG	Generic
Health New England	Hypertension	Lisinopril	TAB 20MG	Generic
Health New England	Hypertension	Lisinopril	TAB 30MG	Generic
Health New England	Hypertension	Lisinopril	TAB 40MG	Generic
Health New England	Hypertension	Lisinopril	TAB 5MG	Generic
Mass General Brigham Health Plan	Asthma	Albuterol	5 MG/ML	Generic
Mass General Brigham Health Plan	Asthma	Albuterol	0.21 MG/ML	Generic
Mass General Brigham Health Plan	Asthma	Albuterol	0.417 MG/ML	Generic
Mass General Brigham Health Plan	Asthma	Albuterol	0.83 MG/ML	Generic
Mass General Brigham Health Plan	Asthma	Budesonide	0.125 MG/ML	Generic
Mass General Brigham Health Plan	Asthma	Budesonide	0.25 MG/ML	Generic
Mass General Brigham Health Plan	Asthma	Budesonide	0.5 MG/ML	Generic
Mass General Brigham Health Plan	Asthma	Flovent	0.011 MG/ACTUAT	Brand
Mass General Brigham Health Plan	Asthma	Flovent	0.022 MG/ACTUAT	Brand
Mass General Brigham Health Plan	Asthma	Flovent	0.044 MG/ACTUAT	Brand
Mass General Brigham Health Plan	Asthma	Flovent	0.05 MG/ACTUAT	Brand
Mass General Brigham Health Plan	Asthma	Flovent	0.1 MG/ACTUAT	Brand
Mass General Brigham Health Plan	Asthma	Flovent	0.25 MG/ACTUAT	Brand
Mass General Brigham Health Plan	Asthma	Montelukast	10 MG	Generic
Mass General Brigham Health Plan	Asthma	Montelukast	4 MG	Generic
Mass General Brigham Health Plan	Asthma	Montelukast	5 MG	Generic
Mass General Brigham Health Plan	CAD/Hypertension	Metoprolol Succinate	100 MG	Generic
Mass General Brigham Health Plan	CAD/Hypertension	Metoprolol Succinate	200 MG	Generic
Mass General Brigham Health Plan	CAD/Hypertension	Metoprolol Succinate	25 MG	Generic
Mass General Brigham Health Plan	CAD/Hypertension	Metoprolol Succinate	50 MG	Generic
Mass General Brigham Health Plan	Coronary artery disease (CAD)	Atorvastatin	10 MG	Generic
Mass General Brigham Health Plan	Coronary artery disease (CAD)	Atorvastatin	20 MG	Generic
Mass General Brigham Health Plan	Coronary artery disease (CAD)	Atorvastatin	40 MG	Generic
Mass General Brigham Health Plan	Coronary artery disease (CAD)	Atorvastatin	80 MG	Generic
Mass General Brigham Health Plan	Diabetes	Jardiance	10 MG	Brand
Mass General Brigham Health Plan	Diabetes	Jardiance	25 MG	Brand
Mass General Brigham Health Plan	Diabetes	Metformin	1000 MG	Generic
Mass General Brigham Health Plan	Diabetes	Metformin	500 MG	Generic
Mass General Brigham Health Plan	Hypertension	Amlodipine	10 MG	Generic
Mass General Brigham Health Plan	Hypertension	Amlodipine	2.5 MG	Generic
Mass General Brigham Health Plan	Hypertension	Amlodipine	5 MG	Generic
Mass General Brigham Health Plan	Hypertension	Hydrochlorothiazide	12.5 MG	Generic
Mass General Brigham Health Plan	Hypertension	Hydrochlorothiazide 12.5 MG / Lisinopril 10 MG	12.5 MG / 10 MG	Generic
Mass General Brigham Health Plan	Hypertension	Hydrochlorothiazide 12.5 MG / Lisinopril 20 MG	12.5 MG / 20 MG	Generic
Mass General Brigham Health Plan	Hypertension	Hydrochlorothiazide	25 MG	Generic
Mass General Brigham Health Plan	Hypertension	Hydrochlorothiazide 25 MG / Lisinopril 20 MG	25 MG / 20 MG	Generic
Mass General Brigham Health Plan	Hypertension	Hydrochlorothiazide	50 MG	Generic
Mass General Brigham Health Plan	Hypertension	Lisinopril	2.5 MG	Generic
Mass General Brigham Health Plan	Hypertension	Lisinopril	10 MG	Generic
Mass General Brigham Health Plan	Hypertension	Lisinopril	20 MG	Generic
Mass General Brigham Health Plan	Hypertension	Lisinopril	30 MG	Generic
Mass General Brigham Health Plan	Hypertension	Lisinopril	40 MG	Generic
Mass General Brigham Health Plan	Hypertension	Lisinopril	5 MG	Generic
Tufts Health Plan	Asthma	Albuterol	0.21 MG/ML	Generic
Tufts Health Plan	Asthma	Albuterol	0.417 MG/ML	Generic
Tufts Health Plan	Asthma	Albuterol	0.83 MG/ML	Generic
Tufts Health Plan	Asthma	Albuterol	5 MG/ML	Generic
Tufts Health Plan	Asthma	Budesonide	0.125 MG/ML	Generic
Tufts Health Plan	Asthma	Budesonide	0.25 MG/ML	Generic
Tufts Health Plan	Asthma	Budesonide	0.5 MG/ML	Generic
Tufts Health Plan	Asthma	Flovent	0.011 MG/ACTUAT	Brand
Tufts Health Plan	Asthma	Flovent	0.022 MG/ACTUAT	Brand
Tufts Health Plan	Asthma	Flovent	0.044 MG/ACTUAT	Brand
Tufts Health Plan	Asthma	Flovent	0.05 MG/ACTUAT	Brand
Tufts Health Plan	Asthma	Flovent	0.1 MG/ACTUAT	Brand
Tufts Health Plan	Asthma	Flovent	0.25 MG/ACTUAT	Brand
Tufts Health Plan	Asthma	Montelukast	10 MG	Generic
Tufts Health Plan	Asthma	Montelukast	4 MG	Generic
Tufts Health Plan	Asthma	Montelukast	5 MG	Generic
Tufts Health Plan	CAD/Hypertension	Metoprolol Succinate	100 MG	Generic
Tufts Health Plan	CAD/Hypertension	Metoprolol Succinate	200 MG	Generic
Tufts Health Plan	CAD/Hypertension	Metoprolol Succinate	25 MG	Generic
Tufts Health Plan	CAD/Hypertension	Metoprolol Succinate	50 MG	Generic
Tufts Health Plan	Coronary artery disease (CAD)	Atorvastatin	10 MG	Generic
Tufts Health Plan	Coronary artery disease (CAD)	Atorvastatin	20 MG	Generic
Tufts Health Plan	Coronary artery disease (CAD)	Atorvastatin	40 MG	Generic
Tufts Health Plan	Coronary artery disease (CAD)	Atorvastatin	80 MG	Generic
Tufts Health Plan	Diabetes	Jardiance	10 MG	Brand
Tufts Health Plan	Diabetes	Jardiance	25 MG	Brand
Tufts Health Plan	Diabetes	Metformin	1000 MG	Generic
Tufts Health Plan	Diabetes	Metformin	500 MG	Generic
Tufts Health Plan	Hypertension	Amlodipine	10 MG	Generic
Tufts Health Plan	Hypertension	Amlodipine	2.5 MG	Generic
Tufts Health Plan	Hypertension	Amlodipine	5 MG	Generic
Tufts Health Plan	Hypertension	Hydrochlorothiazide	12.5 MG	Generic
Tufts Health Plan	Hypertension	Hydrochlorothiazide 12.5 MG / Lisinopril 10 MG	12.5 MG / 10 MG	Generic
Tufts Health Plan	Hypertension	Hydrochlorothiazide 12.5 MG / Lisinopril 20 MG	12.5 MG / 20 MG	Generic
Tufts Health Plan	Hypertension	Hydrochlorothiazide	25 MG	Generic
Tufts Health Plan	Hypertension	Hydrochlorothiazide 25 MG / Lisinopril 20 MG	25 MG / 20 MG	Generic
Tufts Health Plan	Hypertension	Hydrochlorothiazide	50 MG	Generic
Tufts Health Plan	Hypertension	Lisinopril	10 MG	Generic
Tufts Health Plan	Hypertension	Lisinopril	2.5 MG	Generic
Tufts Health Plan	Hypertension	Lisinopril	20 MG	Generic
Tufts Health Plan	Hypertension	Lisinopril	30 MG	Generic
Tufts Health Plan	Hypertension	Lisinopril	40 MG	Generic
Tufts Health Plan	Hypertension	Lisinopril	5 MG	Generic
UnitedHealthcare	Asthma	Albuterol	5 MG/ML	Generic	Inhalable Solution
UnitedHealthcare	Asthma	Albuterol	0.417 MG/ML	Generic	Inhalable Solution
UnitedHealthcare	Asthma	Albuterol	0.21 MG/ML	Generic	Inhalable Solution
UnitedHealthcare	Asthma	Albuterol	0.83 MG/ML	Generic	Inhalable Solution
UnitedHealthcare	Asthma	Budesonide	0.5 MG/ML	Generic	Inhalation Suspension
UnitedHealthcare	Asthma	Budesonide	0.125 MG/ML	Generic	Inhalation Suspension
UnitedHealthcare	Asthma	Budesonide	0.25 MG/ML	Generic	Inhalation Suspension
UnitedHealthcare	Asthma	Montelukast	10 MG	Generic	Oral Tablet
UnitedHealthcare	Asthma	Montelukast	5 MG	Generic	Chewable Tablet
UnitedHealthcare	Asthma	Montelukast	4 MG	Generic	Chewable Tablet
UnitedHealthcare	Asthma	Fluticasone Propionate	0.044 MG/ACTUAT	Brand - Flovent	Metered Dose
UnitedHealthcare	Asthma	Fluticasone Propionate	0.011 MG/ACTUAT	Brand - Flovent	Metered Dose
UnitedHealthcare	Asthma	Fluticasone Propionate	0.022 MG/ACTUAT	Brand - Flovent	Metered Dose
UnitedHealthcare	Asthma	Fluticasone Propionate	0.05 MG/ACTUAT	Brand - Flovent	Dry Powder Inhaler
UnitedHealthcare	Asthma	Fluticasone Propionate	0.1 MG/ACTUAT	Brand - Flovent	Dry Powder Inhaler
UnitedHealthcare	Asthma	Fluticasone Propionate	0.1 MG/ACTUAT	Brand - Flovent	Dry Powder Inhaler
UnitedHealthcare	Asthma	Fluticasone Propionate	0.25 MG/ACTUAT	Brand - Flovent	Dry Powder Inhaler
UnitedHealthcare	Asthma	Fluticasone Propionate	0.25 MG/ACTUAT	Brand - Flovent	Dry Powder Inhaler
UnitedHealthcare	CAD/Hypertension	Metoprolol Succinate	100 MG	Generic	Tablet Extended Release
UnitedHealthcare	CAD/Hypertension	Metoprolol Succinate	200 MG	Generic	Tablet Extended Release
UnitedHealthcare	CAD/Hypertension	Metoprolol Succinate	25 MG	Generic	Tablet Extended Release
UnitedHealthcare	CAD/Hypertension	Metoprolol Succinate	50 MG	Generic	Tablet Extended Release
UnitedHealthcare	Coronary artery disease (CAD)	Atorvastatin	10 MG	Generic	Tablet
UnitedHealthcare	Coronary artery disease (CAD)	Atorvastatin	20 MG	Generic	Tablet
UnitedHealthcare	Coronary artery disease (CAD)	Atorvastatin	40 MG	Generic	Tablet
UnitedHealthcare	Coronary artery disease (CAD)	Atorvastatin	80 MG	Generic	Tablet
UnitedHealthcare	Diabetes	Metformin Hydrochloride	1000 MG	Generic	Tablet
UnitedHealthcare	Diabetes	Metformin Hydrochloride	500 MG	Generic	Tablet
UnitedHealthcare	Diabetes	Empagliflozin	10 MG	Brand - Jardiance	Tablet
UnitedHealthcare	Diabetes	Empagliflozin	25 MG	Brand - Jardiance	Tablet
UnitedHealthcare	Hypertension	Lisinopril	2.5 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Lisinopril	5 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Lisinopril	10 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Lisinopril	20 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Lisinopril	30 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Lisinopril	40 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Amlodipine	2.5 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Amlodipine	5 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Amlodipine	10 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Hydrochlorothiazide 12.5 mg/Lisinopril 10 mg	12.5 MG/10 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Hydrochlorothiazide 12.5 mg/Lisinopril 20 mg	12.5 MG/20 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Hydrochlorothiazide 25 mg/Lisinopril 20 mg	25 MG/20 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Hydrochlorothiazide	12.5 MG	Generic	Capsule
UnitedHealthcare	Hypertension	Hydrochlorothiazide	25 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Hydrochlorothiazide	50 MG	Generic	Tablet
UnitedHealthcare	Hypertension	Hydrochlorothiazide	12.5 MG	Generic	Tablet
WellSense Health Plan	Asthma	Albuterol	0.21 MG/ML	Generic
WellSense Health Plan	Asthma	Albuterol	0.417 MG/ML	Generic
WellSense Health Plan	Asthma	Albuterol	0.83 MG/ML	Generic
WellSense Health Plan	Asthma	Albuterol	5 MG/ML	Generic
WellSense Health Plan	Asthma	Budesonide	0.125 MG/ML	Generic
WellSense Health Plan	Asthma	Budesonide	0.25 MG/ML	Generic
WellSense Health Plan	Asthma	Budesonide	0.5 MG/ML Inh	Generic
WellSense Health Plan	Asthma	Flovent	0.044 MG/ACTUAT	Brand
WellSense Health Plan	Asthma	Flovent	0.05 MG/ACTUAT	Brand
WellSense Health Plan	Asthma	Flovent	0.1 MG/ACTUAT	Brand
WellSense Health Plan	Asthma	Flovent	0.11 MG/ACTUAT	Brand
WellSense Health Plan	Asthma	Flovent	0.22 MG/ACTUAT	Brand
WellSense Health Plan	Asthma	Flovent	0.25 MG/ACTUAT	Brand
WellSense Health Plan	Asthma	Montelukast	10 MG	Generic
WellSense Health Plan	Asthma	Montelukast	4 MG	Generic
WellSense Health Plan	Asthma	Montelukast	5 MG	Generic
WellSense Health Plan	CAD/Hypertension	Metoprolol Succinate	100 MG	Generic
WellSense Health Plan	CAD/Hypertension	Metoprolol Succinate	200 MG	Generic
WellSense Health Plan	CAD/Hypertension	Metoprolol Succinate	25 MG	Generic
WellSense Health Plan	CAD/Hypertension	Metoprolol Succinate	50 MG	Generic
WellSense Health Plan	Coronary artery disease (CAD)	Atorvastatin	10 MG	Generic
WellSense Health Plan	Coronary artery disease (CAD)	Atorvastatin	20 MG	Generic
WellSense Health Plan	Coronary artery disease (CAD)	Atorvastatin	40 MG	Generic
WellSense Health Plan	Coronary artery disease (CAD)	Atorvastatin	80 MG	Generic
WellSense Health Plan	Diabetes	Jardiance	10 MG	Brand
WellSense Health Plan	Diabetes	Jardiance	25 MG	Brand
WellSense Health Plan	Diabetes	Metformin	1000 MG	Generic
WellSense Health Plan	Diabetes	Metformin	500 MG	Generic
WellSense Health Plan	Hypertension	Amlodipine	10 MG	Generic
WellSense Health Plan	Hypertension	Amlodipine	2.5 MG	Generic
WellSense Health Plan	Hypertension	Amlodipine	5 MG	Generic
WellSense Health Plan	Hypertension	Hydrochlorothiazide	12.5 MG	Generic
WellSense Health Plan	Hypertension	Hydrochlorothiazide 12.5 MG / Lisinopril 10 MG	12.5 MG / 10 MG	Generic
WellSense Health Plan	Hypertension	Hydrochlorothiazide 12.5 MG / Lisinopril 20 MG	12.5 MG / 20 MG	Generic
WellSense Health Plan	Hypertension	Hydrochlorothiazide	25 MG	Generic
WellSense Health Plan	Hypertension	Hydrochlorothiazide 25 MG / Lisinopril 20 MG	25 MG / 20 MG	Generic
WellSense Health Plan	Hypertension	Hydrochlorothiazide	50 MG	Generic
WellSense Health Plan	Hypertension	Lisinopril	10 MG	Generic
WellSense Health Plan	Hypertension	Lisinopril	2.5 MG	Generic
WellSense Health Plan	Hypertension	Lisinopril	20 MG	Generic
WellSense Health Plan	Hypertension	Lisinopril	30 MG	Generic
WellSense Health Plan	Hypertension	Lisinopril	40 MG	Generic
WellSense Health Plan	Hypertension	Lisinopril	5 MG	Generic

A Note on Medication Availability and Authorization

Please note that the availability of medications is subject to change without notice. Medications may be discontinued by their manufacturers at any time, which can change their availability through your health care provider or pharmacy. Additionally, certain medications may require prior authorization from insurance carriers before they can be dispensed. This means that your insurance company may need to approve the medication before agreeing to cover the cost.

If you have questions about medication coverage or the prior authorization process, please contact your insurance company directly.