Pharmacies


As a NaviCare member, you'll have access to more than 65,000 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:

  • Current members call:
    1-877-700-6996 (TRS 711), 8 a.m.–8 p.m., Monday–Friday.
    (Oct. 1–Feb. 14, seven days a week.) 
  • Prospective members call:
    1-877-790-4971 (TRS 711), 8 a.m.–8 p.m., Monday–Friday.
    (Oct. 1–Feb. 14, seven days a week.)

Mail-order pharmacy

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

  • You can order refills online at www.caremark.com. (This link takes you away from the NaviCare website.)
    If you use the online service, be sure to sign up for the mail-order pharmacy’s refill reminder program also on their website. With this service, you’ll get convenient email notices from the mail-order pharmacy when it’s time to refill or renew a prescription.
  • By calling toll-free at 1-800-311-0572 (TRS 711), you can access an automated refill system.
  • By mail: You can mail your prescription to:
    CVS Caremark
    PO Box 2110
    Pittsburgh, PA 15230-2110
  • Physicians can fax in new or refill orders by calling 1-800-378-5697, option 2 or faxing  to 1-800-378-0323.

Fallon Health is an HMO plan with a Medicare contract and a contract with the Massachusetts Medicaid program. Enrollment in Fallon Health depends on contract renewal. NaviCare is a voluntary program in association with MassHealth/EOHHS and CMS. NaviCare SCO is available to anyone age 65 and older who has MassHealth Standard and lives in the service area. Individuals who also have Medicare Parts A and B may enroll in NaviCare HMO SNP. This information is not a complete description of benefits. Contact the plan for more information. Limitations and restrictions may apply. Benefits may change on January 1 of each year. The pharmacy network may change at any time. You will receive notice when necessary. To view the PDF file 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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H9001_N_2018_10 Approved 10192017
The information on this page was last updated on 10/1/2017.