Pharmacies


As a NaviCare member, you have access to more than 67,000 pharmacies in your pharmacy network. Fallon Health contracts with pharmacies that equal or exceed the Centers for Medicare & Medicaid Services (CMS) requirements for pharmacy access in your area. The pharmacy network may change at any time. If you would like a Provider and Pharmacy Directory mailed to you, please complete our online form.

If you need help locating a pharmacy or are looking for a particular pharmacy and do not find it:

  • Current members call:
    1-877-700-6996 (TRS 711), 8 a.m.–8 p.m., Monday–Friday.
    (Oct. 1–March 31, seven days a week.) 
  • Prospective members call:
    1-877-790-4971 (TRS 711), 8 a.m.–8 p.m., Monday–Friday.
    (Oct. 1–March 31, seven days a week.)

Filling and refilling prescriptions through mail order 

There are a few different ways in which you may have prescriptions filled through mail-order.

  • Ask your doctor to fax (to 1-800-491-7997) or electronically send a new prescription to OptumRx. This is just like when your provider calls it into your regular pharmacy. As long as your provider is contracted with the plan, they will have all of the information they need to do this.
  • Call OptumRx at 1-844-657-0494 and they will ask you for your medication and prescriber information, and other information they may need to process your prescription.
  • Go online to optumrx.com. (This link takes you away from the NaviCare website.) Register (if you haven’t already) and once you log in, go to "My prescriptions."
  • By mail. You can mail your prescription and mail-order form to:
    OptumRx
    PO Box 2975
    Mission, KS 66201

Make sure your doctor writes your mail-order prescription for a 100-day supply.

Our mail-order pharmacy offers a few ways to order prescription refills. We suggest that you request a refill within 7-10 business days from the day you are going to run out of your medication. There are three different ways you can order refills through mail order:

  • Online. Visit optumrx.com. (This link takes you away from the NaviCare website.) From there you can enter your information to request a refill.
  • By phone. Call 1-844-657-0494. You will need your prescription information, found on your medication bottle
  • By mail.  With each mail-order prescription you will receive a refill slip with a pre-addressed return envelope that you can mail in.

Learn more about mail-order pharmacy.

NaviCare is a voluntary program in association with MassHealth/EOHHS and CMS. To view the PDF files above, you may need to download a free copy of Adobe® Acrobat Reader software on your computer. (This link takes you away from the NaviCare website.)

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The information on this page was last updated on 10/1/2023.