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Medication Lookup

The results below have been sorted using a 2-tier plan. For the most accurate search results, check your plan details and choose another tier plan from the drop-down menu near the search bar.

TASCENSO
THERAPEUTIC CLASS: Multiple Sclerosis Agents
Select a strength to see details

0.25MG ODT TABS

0.25MG ODT TABS
Not Covered by a 3-Tier Plan
Learn more about tiers.
  • Note Title
    Exceptions To Non Covered Medications
    Definition
    Your doctor may submit a request for an exception. If approved, the medication must still follow any applicable requirements before it can be covered by your plan. You’ll also pay the highest tier cost.
  • Note Title
    Step Therapy
    Definition
    This medication is covered through the pharmacy benefit, and is part of our Step Therapy program, which helps your doctor provide you with safe, effective, and affordable medications.
  • Note Title
    Not Available Through Mail Service
    Definition
    This medication is not available through the mail service pharmacy

0.5MG ODT TABS

0.5MG ODT TABS
Not Covered by a 3-Tier Plan
Learn more about tiers.
  • Note Title
    Not Available Through Mail Service
    Definition
    This medication is not available through the mail service pharmacy
  • Note Title
    Step Therapy
    Definition
    This medication is covered through the pharmacy benefit, and is part of our Step Therapy program, which helps your doctor provide you with safe, effective, and affordable medications.
  • Note Title
    Exceptions To Non Covered Medications
    Definition
    Your doctor may submit a request for an exception. If approved, the medication must still follow any applicable requirements before it can be covered by your plan. You’ll also pay the highest tier cost.

 Prior Authorization Forms

Massachusetts Standard Form for Hepatitis-C Medication Prior Authorization Requests

Massachusetts Standard Form for Medication Prior Authorization Requests

Massachusetts Standard Form for Synagis® Medication Prior Authorization Requests

 Important Information

Affordable Care Act (ACA) Medication List

Maintenance Medication List

Medical Benefit Prior Authorization Medication List

Over-the-Counter Exclusion Medication List

Quality Care Dosing Guidelines

Step Therapy Medication List

Learn About Your Pharmacy Program

Learn About Tiers

Learn About Your Pharmacy Program

$0 Copay Medication List

Affordable Care Act (ACA) Medication List

Cost-Share Assistance Program Medication List

Health Savings Account (HSA) Preventive Medication List

Lower-Cost, Brand-Name Insulins Medication List

Maintenance Medication List

Medical Benefit Prior Authorization Medication List

No-Cost Generic Medications List

Over-the-Counter Exclusion Medication List

Quality Care Dosing Guidelines

Step Therapy Medication List

 Specialty Pharmacy

Specialty Pharmacy Medication List

5-Tier Specialty Pharmacy Medication List

6-Tier Specialty Pharmacy Medication List

Specialty Network Pharmacy Contact Information

Specialty Network Pharmacy Contact Information

 Alternatives to Opioids

Covered Pain Management Medication List

Alternatives to Opioid-Based Medications

 For Federal Employee Program Members

Visit fepblue.org to search the formularies

 Eligible Medicare Members

Search a Medicare Formulary

Covered Alternative Medications