Pharmacies
As a NaviCare member, you'll 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 assistance locating a pharmacy or are looking for a particular pharmacy and do not find it:
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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.)
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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
Information for 2022
There are a few different ways in which you may have prescriptions filled through mail-order. Your provider can call in your prescription directly to our mail-order pharmacy by calling 1-844-657-0494, faxing it to 1-844-403-1028, or you can mail in the prescription to:
OptumRx
PO Box 2975
Mission, KS 66201
Our mail-order pharmacy offers a few ways to order prescription refills:
- By signing up to order refills online at www.optumrx.com. (This link takes you away from the NaviCare website.)
- By calling toll-free at 1-844-657-0494 (TRS 711).
- By mail—with each mail-order prescription you will receive a refill slip with a pre-addressed return envelope that can be mailed 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 10/1/2021.