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.

• Search for pharmacies in your area ►
  
  - OR -
  
  
• Download the 2023 NaviCare SCO and NaviCare HMO SNP Provider and Pharmacy Directory (pdf, last updated 9/20/2023)
  This directory is current as of 9/20/2023. Some pharmacies may have been added or removed from the list after this directory was created.

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–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. Your provider can call in your prescription directly to our mail-order pharmacy by calling 1-844-657-0494, faxing it to 1-800-491-7997, or you can mail in the prescription to:
OptumRx
PO Box 2975
Mission, KS 66201

For refills of your drugs, you have the option to sign up for an automatic refill program. Under this program we will start to process your next refill automatically when our records show you should be close to running out of your drug. The pharmacy will contact you prior to shipping each refill to make sure you need more medication, and you can cancel scheduled refills if you have enough of your medication or if your medication has changed. You can: 

• Signing up to order refills online at optumrx.com. (This link takes you away from the NaviCare website.)
• Call toll-free at 1-844-657-0494 (TRS 711).
• Request refills 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.)

Adobe^® is a registered trademark of Adobe Systems Incorporated.

The information on this page was last updated on 10/1/2022.