Any and all information related to Fallon Health prescription medications.

Provides important news and updates related to Fallon’s prescription formulary

Online drug formulary
The online drug formulary lists the prescription medications covered by Fallon Health. The formulary provides tier information and any limits or prior authorizations (PA) and PA criteria for a certain drug.

Pharmacy prior authorization and PA forms
Describes the PA process and provides forms for prescribing formulary medications that require prior authorization.

Specialty drug list
The list of specialty, infused and injectable prescription drugs

New-to-market medication evaluation
Fallon Health follows a new-to-market medication evaluation policy and usage determination for medications newly approved by the FDA.

Opioid management program
Our standard opioid management program is aligned with the "Guideline for Prescribing Opioids for Chronic Pain" issued by the Centers for Disease Control and Prevention (CDC) in March 2016.